Lightweight Health Certificate

This form must be completed by a certified athletic trainer. All potential lightweight rowers will need to be certified between August 1st, 2018 and April 1st, 2019 in order to row as a lightweight at the 2019 SRAA regatta.

Note: This form allows for entering multiple athletes. Each time you submit one, it will log that entry and provide the form again with the trainer information pre-filled.

Athlete Information

Athlete Name

Gender Male
Female
Date of Birth
School

Test Data

Date of Test
Height
Weight
Percent Body Fat
Athlete Hydrated? YES
NO

Lightweight Eligibility

FEMALE athletes: Is the athlete safely able to attain and compete at a weight of 130 lbs AND be at or above 12% body fat on May 24-25, 2019?
MALE Athletes: Is the athlete safely able to attain and compete at a weight of 150 lbs AND be at or above 7% body fat on May 24-25, 2019?
Lightweight eligible YES
NO

Athletic Trainer Information

Note: This form allows for entering multiple athletes. Each time you submit one, it will log that entry and provide the form again with the trainer information pre-filled.

I certify that the above information is correct.
Name of Athletic Trainer
Licensing Board
Business Email
Business Telephone Number