December 2km Erg (Compulsory) Submission (1)

This is for all athletes who have nominated for the Interstate State Team.
Name(Required)
MM slash DD slash YYYY
Time of Day(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.