Adaptive Erg Form

*Email Address:

Please enter your email address.

*Name

*Rowing Canada Number

Adaptive Categories

LTA(W) LTA(M) TA(W) TA(M) A(W) A(M)

Adaptive Classification Complete?

yes

no

*Time (00.00.000)

Birth date

Witnessed by:

E-mail address of witness:

Comments:

(* indicates a required field.)