January-5km-erg-mandatory 9th-23rd-january

January 5km Erg (Mandatory) Submission

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.