2024 Inter-Provincial’s Regatta Nomination Form

* GENERAL

Nominations open: 1 July 2023

Nominations close: 28 July 2023

* OTAGO ONLY

Otago link https://forms.gle/qREkWZNiyZmpAZwe9

* CANTERBURY ONLY
Canterbury link https://docs.google.com/forms/d/15KeW_J2Q0qSlWkCat3x_cTFJt6KDYiBRSABWidtqV_A/edit

* MARLBOROUGH ONLY

Nominations locally only

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* 1. What Association are you nominating for?

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* 2. Your current club/school

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* 3. Your Contact Details

Name

Address

Address 2

City/Town

Postal Code

Email Address

Phone Number

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* 4. Your date of birth

Date

Date

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* 5. Your gender

Male

Female

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* 6. What team are you nominating for?

Open team

U/20 team

Masters

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* 7. What events are you nominating for?

Sweep

Sculling

Both

Coxswain

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* 8. For sweep events, what is your preferred side?

Bowside

Strokeside

Either

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* 9. Please outline your recent rowing experience and results (max. 2yrs)

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* 10. Please provide your recent 2km erg score with the date that it was achieved

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* 11. Please provide a recent 5km erg score

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* 12. Name of your current coach

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* 13. Coach email address