November 5km Erg – State Team

November 5km Erg (Encouraged) Submission

This is for all athletes who have nominated for the Interstate State Team who have compleated the November 5km Encouraged Erg.
Name(Required)
MM slash DD slash YYYY
Time(Required)
:
Coach/Appropriate Witness(Required)
Who can verify your result. This cannot be another athlete or friend.
Erg Image(Required)
Accepted file types: jpg, jpeg, png, gif.