Details

2025 Pathway State Team Nomination Form

Wed 05 Mar 2025 17:00 — 17:00

Online

Google · Outlook · iCal

Are you attending this event?

Yes No Maybe

First name*

Last name*

Phone number*

Email address*

Address*

Gender*

Category*

If you are a coxswain, please upload your cox recording here.

Choose file...

Max 5MB

Boat Nomination*

If 8+, preferred Sweep Side (N/A for Coxswain or Coach)*

Date of Birth DD/MM/YYYY*

Height in cm (numbers only - N/A for Coaches)*

Arm span in cm (numbers only - N/A for Coaches)*

Coaches Full Name*

Coaches Email*

Your club / school / university*

Parent Contact*

Parent Email*

Parent Mobile*

Are your parents aware of the contents in the Selection Policy*

I agree that I have read the Pathway Selection Policy*

Any Questions

If you are a coach please tick box

Yes

If you are a coach please give brief experience Max. 255 characters

If you are a coach, please upload your CV here.

Choose file...

Max 5MB

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*