2018 Underage and Para Coach Nomination
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 2017/2018 season (whichever is the earlier) and continues until 1 March, 2019.

Please ensure you have carefully read the relevant Event Requirements prior to submitting your nomination. If you have any questions about the information contained in this form, please contact Naomi Wagstaff (nwagstaff@rowingaustralia.com.au).

Closing date for all nominations is: 17:00 AEDST, Thursday 29 March, 2018

Participant's Surname *
Your answer
Participant's First Name *
In full (e.g. Matthew)
Your answer
Participant's Gender *
Nominating for *
Please select the team(s) you wish to nominate for
Participant's Current Coach Accreditation *
Please note: all coaches appointed to underage national teams will be required to hold a current NCAS rowing coach accreditation, Level 2 or above, as set out in the Australian Rowing Team Coach (Pathway) Position Description, available at http://www.rowingaustralia.com.au/wp-content/uploads/2017/12/Australian-Rowing-Team-Coach-Pathway-Position-Description.pdf.
Participant's Date of Birth *
DD/MM/YYYY
MM
/
DD
/
YYYY
Participant's Residential Address *
e.g. 1 Smith Street
Your answer
Participant's Suburb *
Your answer
Participant's State *
Participant's Postcode *
Your answer
Participant's Mobile Number *
Your answer
Participant's Email Address *
Your answer
Participant's next of kin - name *
Your answer
Participant's next of kin - email *
Your answer
Participant's next of kin - mobile *
Please add spacing (e.g. 0412 345 678)
Your answer
Participant's Passport Document Number *
(e.g. M12345678) If you do not have a valid passport, please write "To Obtain"
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/School *
In full (e.g. Sydney University Boat Club)
Your answer
Coaching Appointments *
Briefly enter your most recent coaching appointments
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 18 February, 2018. (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 18 February, 2018. (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 and the RA Event Requirements (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/2017/12/RA-Participant-Agreement-Coach-Pathways-Teams-2018-online-nomination.pdf), including the 'ART Code of Conduct and Behaviour' and 'Australian Rowing Team Coach (Pathway) Position Description' 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 2017/2018 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 18 February, 2018; 4. I will, for the purposes of the RA Participant Agreement, fully disclose the details of any existing Agreement to which I am a party by email to nwagstaff@rowingaustralia.com.au by no later than 5:00pm on 18 February, 2018.
Required
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