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* 1. What team/s do you wish to be considered for?

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* 2. Coxswain details

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* 3. Current club and/or school/university your are representing

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* 4. Passport details

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* 5. Coach details

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* 6. Anthropometry

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* 7. Coxswain cover letter

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* 8. Coxswain CV

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* 9. Race recording

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* 10. Would you like to be considered for the December development camps? (For U19 coxswains only, cost $150)

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* 11. I confirm that all information provided in this nomination form is true and correct at the time of completion 

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