2018 Australian Senior Rowing Team and National Training Centre - Nomination Form
In 2018 there is one nomination process which incorporates both a nomination to be considered for an invitation to train at an NTC and a nomination to be considered for selection to the Senior Australian Rowing Team. This nomination form is designed to obtain specific information for individuals who wish to nominate for the 2018 Australian Rowing Team and respective Men's and Women's National Training Centres. If you have any issues with the below questions, please contact Naomi Wagstaff (nwagstaff@rowingaustralia.com.au).

Closing date for all Nominations - 5:00pm AEST Thursday 21st September 2017

The terms and conditions in this Nomination Form commence on the date of submission of this Nomination Form or on the date the Participant first competes at an RA event in the 2018 season (whichever is the earlier) and continue until 1 March 2019.

Email address
Participant's Surname
Your answer
Participant's First Name
in full (e.g. Matthew)
Your answer
Participant's Gender
I wish to nominate for
If I am successful in being invited to the National Training Centre, I will require consideration for my Exceptional Circumstances (please refer to the NTC Invitation Guidelines for details)
If you answered 'Yes' to the above question, please outline your Exceptional Circumstances below:
Your answer
Category
Participant's Date of Birth
DD/MM/YYYY
Your answer
Participant's Residential Address - Street No & Name
Your answer
Participant's Suburb
Your answer
Participant's City/Town
(e.g. Canberra)
Your answer
Participant's State
Participant's Post Code
Your answer
Participant's Mobile Number
Please add spacing (e.g. 0412 345 678)
Your answer
Participant's Email Address
Your answer
Participant's Coach (Name)
Your answer
Participant's Coach (Email)
Your answer
Participant's Coach (Mobile)
Please add spacing (e.g. 0412 345 678)
Your answer
Rowing Preference
If you are a nominating Coxswain, please select N/A
Rowing Side
Please choose your most prefered side to row on (Scullers choose 'N/A') If you are a nominating Coxswain, please select N/A
Best 2km erg result
Your answer
Date of completion of best 2k erg result
Your answer
Best 5km erg result
Your answer
Date of completion of best 5k erg result
Your answer
Participant's Passport Document Number
(e.g. M1234567) If you do not have a valid passport, please write "To Obtain". PLEASE NOTE: If invited to attend Selection Trials, you MUST have a valid Australian passport and be able to present this prior to your participation.
Your answer
Participant's Passport Expiry Date
DD/MM/YYYY (If you do not have a valid passport, please write "To Obtain")
Your answer
Current rowing club
In full (e.g. Sydney University Boat Club)
Your answer
ASADA Level 1 Anti-Doping Online Course
I have previously completed, or agree to complete, the ASADA Level 1 Anti-Doping Online Course no later than 5:00pm AEST Thursday 21st September 2017. (https://elearning.asada.gov.au/). PLEASE NOTE: If selected, you may be required to complete further ASADA online educative programs.
Keep Sport Honest Online Course
I have previously completed, or agree to complete, the Keep Sport Honest Online Course no later than 5:00pm AEST Thursday 21st September 2017. (https://elearning.sport.gov.au/)
RA Policies
I acknowledge and agree that: 1. I have access to and will be bound by and observe the terms and conditions of the RA Policies (available at http://www.rowingaustralia.com.au/rowing-australia-policies/ and https://www.rowingaustralia.com.au/national-team-selection-information/) including, without limitation, the RA National Selection Policy, the RA Event Requirements and the RA National Training Centre Invitation Guidelines (also available at http://www.rowingaustralia.com.au/national-team-selection-information/); 2. the RA Policies may be amended from time to time. I will observe those policies as amended, and I acknowledge that any amendments to those policies will apply following notification on the RA Website (https://www.rowingaustralia.com.au/) or notification via email.
Required
RA Participant Agreement
I acknowledge and agree that: 1. I have read, fully understand and will be bound by and observe the terms and conditions of the RA Participant Agreement (available at http://www.rowingaustralia.com.au/wp-content/uploads/2017/08/RA-Participant-Agreement-2018-online-nomination.pdf), including the ART Code of Conduct and Behaviour attached thereto, and that the references to “the Participant” in that agreement are references to me as the participant the subject of this form; 2. the terms and conditions contained in the RA Participant Agreement commence on the date of submission of this Nomination Form or on the date I first compete at an RA event in the 2018 season (whichever is the earlier) and continue until 1 March 2019 (unless superseded and replaced by another RA participant agreement or terminated in accordance with its terms); 3. I will, for the purposes of the RA Participant Agreement, fully disclose the details of any existing Commercial Arrangements to which I am a party including any sponsorship endorsement by email to kginbey@rowingaustralia.com.au by no later than 5:00pm on 21 September 2017; 4. I will, for the purposes of the RA Participant Agreement, fully disclose the details of any existing Athlete Agreement to which I am a party by email to wdiplock@rowingaustralia.com.au by no later than 5:00pm on 21 September 2017.
Required
Parental/Legal Guardian consent for Participants under 18 years of age
I am the Participant’s parent and/or legal guardian. I: 1. acknowledge and agree that I have read and explained the contents of this Nomination Form and the RA Participant Agreement to the Participant; 2. consent to the Participant being subject to the terms and conditions in this Nomination Form and the RA Participant Agreement; 3. declare that the statements made in this Nomination Form are to the best of my knowledge and belief true and correct.
Required
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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