Erg Submission Form
Erg Distance
Please provide the erg distance
*
1 KM (masters)
2 KM
5 KM
Entry Requirement
This submission is to complete the entry requirment as prescribed on the ER document. Please provide the team you are nominating for and the date period the erg must be completed in.
*
Please Select
Interstate - 5km erg - (Nov)
Interstate - 2km Erg - (Dec)
Interstate - 5km Erg - (Jan - Feb)
Interstate (Youth) - 2km erg - (Jan - Feb)
Pathway - 2km erg - (Feb)
Masters
Oceania - 5km (Jan - Feb)
Name
*
Surname
First Name
Gender
*
Male
Female
Prefer not to say
Category
*
LWT
HWT
Para
Weight (LW only)
Club or School
*
Please Select
Adelaide Rowing Club
Adelaide High School
Adelaide Uni Boat Club
Berri Rowing Club
Christian Brothers College
Goolwa Rowing Club
Limestone Coast Rowing Club
Loreto College
Mannum Rowing Club
Mawson Boat Club
Murray Bridge Rowing Club
Norwood International School
Pembroke Masters Rowing Club
Pembroke School
Phoenix Rowing Club
Port Adelaide Rowing Club
Port Pirie Rowing Club
Prince Alfred College
Pulteney Grammar School
Renmark Rowing Club
Riverside Rowing Club
Rowing Australia
Saint Peters College
Saint Peters Girls School
SASI
Scotch College
Scotch Old Collegians Rowing Club
Seymour College
St Francis of Assisi College, Renmark
St Ignatius College
Tailem Bend Rowing Club
Torrens Rowing Club
Unley High School
Waikerie Rowing Club
Walford Anglican School for Girls
Wilderness School
Test Date
*
-
Day
-
Month
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Date of Birth
*
-
Day
-
Month
Year
Date
Current age
Supervisor Name
*
First Name
Last Name
Room Temp (°C)
*
Ergo Times
Rows
Please enter details
Time (mm:ss.s)
Av Pace (mm:ss.s)
Av. Stroke Rate (spm)
Stationary Drag Factor
Distance (m)
Please upload photo of erg screen
*
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Notes: Is there any special information that must be recorded that is pertinent to the results of the test
I acknowledge this test was completed on a stationary erg.
*
Yes
No
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