U21 Nomination Form Question Title * 1. Athlete details Name Gender Date of birth Address City/Town ZIP/Postal Code Email Address Phone Number Question Title * 2. Current club and school/university your are representing Question Title * 3. Passport details Name Expiry date Passport number Question Title * 4. Coach details Name Email Address Phone Number Question Title * 5. Anthropometry Height (cm) Weight (kg) Arm span (cm) Question Title * 6. Do you scull? Yes No Question Title * 7. Do you row bow? Yes No Question Title * 8. Do you row stroke? Yes No Question Title * 9. Which is your preference Scull Row bow Row stroke Question Title * 10. 2km PB Best 2km erg time (mm.ss.00) Best 2km erg average watts/split Date this erg test was completed Witness by Question Title * 11. 5km test 5km/30min erg time (mm.ss.00) 5km/30min erg average watts/split 5km/30min erg average rate Date this erg test was completed Witness by Question Title * 12. Please confirm that you are able to train on the water between camps during the campaign, either with a pairs partner or in a single. Yes No Question Title * 13. Have you based in Auckland during the Lockdown? Yes No Question Title * 14. I confirm that all information provided in this nomination form is true and correct at the time of completion Yes No Done
