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First Name*
Surname*
Email Address*
Mobile Number*
What event(s) in the Interstate Regatta are you nominating for?*
Will you be returning to Queensland and available to participate in squad training prior to the National Championships? If so, please list you return dates in detail*
If vying for a sweep boat, what is your prefered side?*
Please select...
Stroke
Bow
Will you be able to obtain a formal release from your current school/college/club to row for Queensland at the National Championships?*
Please select...
Yes
No
Will you be competing at the Queensland State Championships?*
Please select...
Yes
No
Will you be competing at the NSW State Championships?*
Please select...
Yes
No
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