Expression of Interest - Australian Dragon Boat Team - 2011 World Championships 28 July - 2 August
Name:
Home Address:
Email Address:
Phone:
Date of birth (dd/mm/yyyy):
Gender:
*
Male
Female
Weight (kg):
Financial member of state dragon boat body:
*
Yes
No
State dragon boat body:
*
CDBA
DBNSW
DBNT
DBSA
DBV
DBWA
QDBF
TasDBF
Not yet a member
Club:
Club coach:
Coach phone contact:
Position trialing for:
*
Drummer
Paddler
Sweep
Usual position in boat:
*
Drummer
Seats 1-3
Seats 4-7
Seats 8-10
Sweep
Preferred paddling side:
*
Left
Right
No preference
N/A - drummer or sweep
How many years have you competed in ANY sport?:
What is the highest level of competition you have participated in at ANY sport?:
*
Never competed
Social
School
University
Club
Regional representative
State representative
National representative
How many years have you competed in DRAGON BOAT?:
What is the highest level of competition you have participated in at DRAGON BOAT?:
*
Never competed
Social
School
University
Club
Regional representative
State representative
National representative
Do you paddle in / on any other type of water craft? If so, name them:
I agree to adhere to the AusDBF Code of Conduct (available at ausdbf.com.au)
*
Yes
No
Is there any other information you would like to include about yourself:
Submit
Should be Empty: