2026 State Team Athlete Nomination Form

2026 State Team Athlete Nomination Form
Personal Details Information
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Date of Birth*

DayMonthYear
Please provide your age as of today's date*
Are you under the age of 18*

YesNo
Please indicate whether you are:*

FemaleMaleNon-binary
Conflict of interest
Conflicts of interest can occur in sport. We have guidelines that outline the expectations and limitations surrounding conflicts of interest for individuals involved in the selection of crews or coaching of State Teams under Rowing South Australia. The intent is to ensure fairness, transparency, and integrity in all aspects of selection and coaching, while recognising the realities of our rowing community.

Permitted Conflicts of Interest

Due to the interconnected nature of rowing in South Australia, the following affiliations are common and considered manageable, provided they are fully disclosed:
- Coaching at a Rowing Club
- Coaching at a School
- Coaching at SASI
- Holding the role of Head of Rowing, Director of Rowing, or Teacher in Charge at a School
Individuals may hold one or more of the above affiliations and still be eligible for selection and coaching roles, as long as they are disclosed during the nomination process.

Prohibited Conflicts of Interest and Required Management

Certain conflicts of interest must be carefully managed or may result in ineligibility to ensure fairness in State Team selection and coaching appointments.

Individuals are ineligible to hold a selection or coaching role in the current cycle if they:
- Are trialling or intending to trial as an athlete for the State Team
- Are a sponsor of a prospective athlete
These conflicts cannot be managed and will render the individual ineligible for appointment, regardless of other roles or disclosures.

Family or Personal Relationships

If an individual has a family or personal relationship with a prospective athlete (by blood, marriage, or de facto partnership), they may still be appointed to a coaching or selection role, provided that:
- The relationship is fully disclosed during the nomination process; and
- The individual abstains from all discussions, assessments, and decisions related to that athlete.
This ensures transparency while allowing experienced contributors to remain involved where the conflict can be appropriately managed.

In the case where a conflict of interest arises after the nomination form has been lodged, please email the CEO of Rowing SA to discuss the matter.
Do you need to disclose a conflict of interest*

YesNo
Please indicate where your conflict of interest lies
Previous membership information
Have you previously held a membership of an interstate club?*

YesNo
Please note: A transfer via Rowing Manager, does not constitute a change in your State of Origin.

This process requires an interstate transfer form, which must be completed and lodged with Rowing Australia, via the RSA office, within a set number of days, prior to the close of entries to the event.

These conditions are mandated by Rowing Australia and require a paper form to be completed.

This is available from the RSA office upon request.
Have you completed an interstate transfer form?*

YesNo
Please provide details of the interstate club and for how long you have resided in SA.
Parent / Guardian / Emergency Contact Information
Emergency Contact Name*

First NameLast Name
Relation to you*
Email*
example@example.com
Emergency Contact Phone Number*
Please enter a valid phone number.
Athlete Medical Information
Do you currently, or have ever, suffer from any medical conditions we should be aware of? If so, please outline below.*
e.g. asthma, allergies, etc.
State Team Uniform
Athletes selected in their first Interstate State Team are provided with a sports bag.
Will this be your first Interstate Team?*

YesNo

Please provide your sizes

	Sizing
Shirt
Short
Zootie

Current Membership Information
Please select your current club*
Please select your school*
Coach Name*

First NameLast Name
Coach Email*
example@example.com
Nomination Information
Please indicate what crew you are eligible for:*

Open (QC/KC/1x)Lightweight (PC/VC)U21 (Youth)PR3 1x
Please indicate your preferred side:*

BowStrokeScullingN/A - Coxswain
Ergo Submission
I am nominating as an athlete or coxswain*

AthleteCox
What was your last 2km erg ergo time and date completed?*
e.g. 7:25.00 on 28/09/2023
Nominated coxswains are required to participate in nominated regattas.
In these regattas they must:
- Cox an 8+
- Have a live tracker attached to the boat and recorded
- Provide a voice recording from that race
- Nominated coxswains must be available for seat racing across all days.
As above, Coxswains have a target weight of 55kg at the following events:

2026 South Australian Rowing Championships
Seat Racing and/or Speed Order Trials
2026 Australian Rowing Championships
Please upload a voice recording

Cancelof
Media Consent
I agree to have my photo used on the website or Rowing SA social media

YesNo
Dietaries
I have dietaries that need to be considered if I am successful in being selected in a team. The details are listed below.
Dietaries*
Please indicate whether these are allergies requiring medical treatment
Acknowledgment
Mandatory Events:
Mandatory Selection Events apply to all nominees.

Nominees who cannot participate in any of the mandatory selection activities must apply for an exemption for each activity that they are unable to participate in.

The exemption form can be found here

Rowing SA Website

Event requirements and policies are available from the website.

I acknowledge:
- That I have read and understand the State Team Policy Documents Event Requirements, and if I do not complete a mandatory event, I may not be able to progress in the selection process or be considered.
- That I understand the selectors will select crews and will review at their discretion.
- That I understand the selectors may prioritise a crew with the best possible chance to win or podium.
- That I understand that entry into West Lakes regattas is my responsibility to seek entry via my club or school – late entries will not be accepted.
I acknowledge I am aware of the mandatory events*

YesNo
Signature of applicant

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2026 State Team Athlete Nomination Form

Personal Details Information

Conflict of interest

Previous membership information

Parent / Guardian / Emergency Contact Information

Athlete Medical Information

State Team Uniform

Current Membership Information

Nomination Information

Ergo Submission

Media Consent

Dietaries

Acknowledgment