2027 Oceania Athlete and Coxswain Nomination Form

Privacy collection notice Rowing South Australia Inc. (Rowing SA) collects the personal information in this form to assess your nomination for the 2027 State Team, run selection activities safely, contact you and your emergency contact, and manage your participation if you are selected. Your information will be used only for these purposes and disclosed only as needed to Rowing SA staff, the Selectors, the Selection Ombudsman, State Team coaches and team managers, Rowing Australia (for event entries and eligibility) and, if an appeal is lodged, the Independent Appeals Tribunal. Your Selection Data (your results from selection activities, such as erg, time trial, regatta and seat racing results) will be shared with the other nominees in your program, as set out in section 8 of the 2027 Selection Policy. Your medical, personal and contact details will not be shared with other nominees. Rowing SA handles personal information in accordance with its Privacy Policy, available on the Rowing SA website. You can ask to access or correct your information by contacting Rowing SA at aswift@rowingsa.asn.au. If you do not provide the required information, Rowing SA may not be able to consider your nomination.

Full name

First NameLast Name

Email address

example@example.com

Mobile phone number

Please enter a valid phone number.Format: 0000 000 000.

Date of birth - please use the calendar icon to enter your DOB

The Oceania U22 Regatta date and location are to be confirmed.

Rowing SA will publish details as soon as they are confirmed.

Please indicate whether you are:

For racing category under the Rowing Australia Rules of Racing

Please specify

Rowing SA club

School

Current coach name

First NameLast Name

Current coach email

So Rowing SA can contact your coach about erg testing supervision.

Have you previously been a member of an interstate club?

Has an interstate transfer form been completed?

Interstate club and time resident in South Australia

Nomination type

Can row sweep competently?

Can scull competently?

Rowing preference

Best 2000m erg time in the last 12 months

Rowers only. Enter as m:ss.t, for example 6:45.3

Date of that result

Date

Where was it completed?

No result in the last 12 months

Coxswain requirements, including target weight, are set out in the Oceania U22 Event Requirements.

Current coxing weight (kg)

Target weight is 55 kg.

Coxing summary

Outline the crews you have coxed recently (boat, club or school, level) and any outstanding results worth mentioning

Coaching referee - A coach who has worked with you as a coxswain

First NameLast Name

Club or school

Phone

Please enter a valid phone number.Format: 0000 000 000.

Email

example@example.com

Please upload one recent coxswain race recording (recorded in 2026), as required by the Oceania U22 Event Requirements.

Emergency contact name

First NameLast Name

Relationship to emergency contact

Emergency contact mobile

Please enter a valid phone number.Format: 0000 000 000.

Do you have any current medical condition, injury or allergy, or take any regular medication?

Medical conditions and injuries

Include any condition we need to know about to keep you safe, e.g. asthma, anaphylaxis, diabetes, epilepsy, heart conditions, recent concussion or injury.

Medications

Name and purpose of any regular medication, and whether you carry it (e.g. asthma reliever, EpiPen).

If you take any medication, check it on the Sport Integrity Australia website or app, as State Team athletes are subject to the Anti-Doping Policy.

Allergies requiring medical treatment

Include what the reaction is and the treatment required.

Do you have an action plan (e.g. asthma or anaphylaxis)?

Action plan

Dietary requirements

Dietary needs to consider if you are selected (e.g. vegetarian, gluten free). Please indicate any allergies requiring medical treatment above.

Uniform sizes

Rows	XS	S	M	L	XL	2XL	3XL
Shirt
Short
Zootie
Jumper

I agree to photos of me at State Team activities being used on the Rowing SA website and social media.

If you have a concern about a selection decision, the Appeals Policy sets out the steps, starting within 48 hours of Official Notification. The Appeals Policy is available at https://rowingsa.asn.au/state-team/

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.

2027 Oceania U22 Athlete and Coxswain Nomination Form

Your details

Eligibility and State of Origin

Nomination

Erg result

Coxswains only

Coxswain summary

Safety information

Medical, dietary and uniform information

Consents and acknowledgements