Lightweight Health Certificate

This form must be completed by a state or national licensed athletic trainer. All potential lightweight rowers will need to be certified between August 1st, 2022 and April 15th, 2023 in order to row as a lightweight at the 2023 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 26-27, 2023?

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 26-27, 2023?

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