2025 State Team Nomination Form

This survey is conducted in accordance with our Data Collection Privacy Policy

First Name*

Surname*

Sex*

Date of Birth*

Club/School*

I am nominating as......*

Provide a Brief Bio of your Coxswain experience

Contact Number*

Email Address*

Current Coach*

Best 2km Ergo Score + Approximate Date*

Witnessed by:*

Most recent 2km ergo score:*

Select your priority crew*

Second Preference*

Height (in cm):*

Approximate Weight:*

Zootie Size*

Polo Size*

By nominating for the Tasmanian State Team, you are accepting all Rowing Tasmania policies including the Rowing Tasmania code of conduct.*

Additional Comments*

If you are a School aged athlete please provide written consent by a parent/guardian

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