Are you attending this event?

Yes No Maybe

Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Date of Birth*

Height in cm (numbers only)*

Weight in kg (numbers only)*

Gender*

Team*

Senior HWT

Senior LWT

Para

Youth

I am nominating as an*

Athlete

Coxswain

Coach

Zoot Size*

Shirt Size*

Club or school*

Preferred side*

I have read the Selection Policy (Appendix 16 RV Rules) and agree to the terms of this policy.

I have read the selection requirements (Senior, Para or Youth) and agree to the terms of these requirements.

I confirm that I have read the above Event Waiver in its entirety.*

I agree to the Event Waiver.*