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2022 Rowing Intake Form
For new and experienced Rowers
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* Indicates required question
SCHOOL
*
Your answer
Name
*
Your answer
Birth Date (DD/MM/YYYY)
*
Your answer
Email Address
Your answer
cell number if you have one
Your answer
Emergency contact and PHONE NUMBERS
*
Your answer
HEALTH INFORMATION WE NEED TO KNOW
*
Your answer
I HAVE - Viewed the RCA SAFETY VIDEO and KRC SAFETY BRIEFING
*
YES
Description of your experience and racing
Your answer
PR 2000m Time
Your answer
Goal(s) for Winter Training
Your answer
Goal(s) for school racing season
Your answer
Goal(s) for Future
Your answer
I like when a coach....
Your answer
I DON'T LIKE when a coach .....
Your answer
I like Rowing because....
Your answer
I DONT LIKE Rowing because ....
Your answer
I am motivated to perform by ...
Your answer
I AM NOT motivated by ...
Your answer
I am fearful of...
Your answer
I feel like my mental strengths are...
Your answer
I feel that my mental weaknesses are...
Your answer
I am happiest in the sport when....
Your answer
I need to tell you that...
Your answer
How would you describe your baseline daily mood.
Your answer
I feel UNcomfortable talking about .....
Your answer
I feel comfortable talking about
Your answer
I row because...
Your answer
The following are things that affect my mental or physical wellness... past injuries etc.
Your answer
How are you feeling about training right now? Please check all that apply.
At ease
Angry
Excited
Fearful
Happy
Hesitant
Insecure
Optimistic
Nervous
Overwhelmed
Relieved
Sad
Stressed
Anything else coaches should ask or know?
Your answer
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