Masters Team Nomination

 If you wish to nominate for the 2012 Queensland Masters Team please complete the following on-line nomination form.

First Name:
Please enter your first name.
Last Name:
Please enter your last name.
Rowing Club:
Please enter your Rowing Club's name.
Gender
Please enter your gender in the text box.
Please enter your date of birth in dd/mm/yyyy
Age:
What is your current age as of 31st December 2011.
Please type in your email address, ensuring your email is correct otherwise you will not receive any communication.
Mobile No.
Please enter in your mobile phone number.
Home Phone
Please enter in your home phone number here.
Sweep (Yes/No)
Please type Yes/ No if you are vying for the Sweep boats.
Scull (yes/no)
Please enter yes/ no if you are vying for selection in a sculling boat.
Coach (yes/no)
Please enter yes / no if you are vying for coach selection.
Coxswain (yes/no)
Please enter yes / no if you are vying for a coxswain position for the 2010 Masters State team.
Zootie Size
Please enter your zootie size (simply oarsome).

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