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Format: 0000 000 000.
- Date of birth - please use the calendar icon to enter your DOB*
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- Have you previously been a member of an interstate club?*
- Has an interstate transfer form been completed?
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- Nomination type*
- Crews to be considered for*
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- Can row sweep competently?
- Can scull competently?
- Rowing preference
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- Date of that result*
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Format: 0000 000 000.
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Format: 0000 000 000.
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- Do you have any current medical condition, injury or allergy, or take any regular medication?*
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- Do you have an action plan (e.g. asthma or anaphylaxis)?
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- Uniform sizes*
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- I have read the 2027 Selection Policy and the Event Requirements for this program.*
- I consent to my Selection Data being shared with the other nominees in my program after each selection activity, as set out in section 8 of the 2027 Selection Policy. I understand that consent is a condition of nomination, and that my medical, personal and contact details will not be shared.*
- I understand that activities listed as Mandatory in the Event Requirements apply to all nominees, and that if I cannot attend one, I must apply for an exemption using the Exemption Form before the activity. Exemptions are considered by the Selectors, including for Extenuating Circumstances.*
- I understand that the Selectors select crews in accordance with the Selection Policy, and that selections are ratified by the Rowing SA Board.*
- I understand that entering West Lakes regattas is my responsibility, through my club or school, and that late entries will not be accepted*
- I will uphold the Rowing SA Values and comply with the Code of Conduct, Child Safeguarding Policy, Member Protection Policy and Anti-Doping Policy.*
- I agree to photos of me at State Team activities being used on the Rowing SA website and social media.
- If successful, will this be your first Interstate Team?*
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Format: 0000 000 000.
- I am the parent or legal guardian of the athlete named in this form. I consent to their nomination and participation in the 2027 State Team selection activities, training and, if selected, competition.*
- I consent to my child's Selection Data being shared with other nominees in their program, as set out in section 8 of the 2027 Selection Policy.*
- If I cannot be contacted in an emergency, I consent to my child receiving first aid and any medical treatment considered necessary by a qualified medical practitioner or paramedic.*
- I have read the privacy collection notice, and I understand my child must comply with the Rowing SA Code of Conduct and State Team policies.*
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- Date*
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- Should be Empty: