Nomination Form - Academy
Nomination for the RSA Academy April - October 2026. Open to those currently in Year 12 or graduated in 2025.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: 0000 000 000.
Date of Birth
*
-
Day
-
Month
Year
Date
Height
*
Weight
Back
Next
Are you a returning member of the Academy?
*
Yes
No
School and/or Club 2025-2026 Season
*
(If school) Crew and coach for 2025-2026 season
Notable water results in 2025-2026 season
*
What is your 2000m erg PB? mm:ss.00
*
Date of your 2000m erg PB
*
-
Day
-
Month
Year
Date
What is your preference?
*
Sculling
Sweeping
No preference
What are your goals for the 2026/2027 season?
*
Back
Next
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Relation
*
Emergency Contact Email
*
example@example.com
Emergency Contact Phone
*
Please enter a valid phone number.
Format: 0000 000 000.
Do you have any relevant medical conditions we need to know about?
*
I understand that there is a $250 quarterly cost for participating in the Academy. This cost covers coaching, equipment, uniform and facilities access.
*
Yes
Submit
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