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Name of Participant (First)
Name of Participant (Last)
Commonly Used First Name (nickname)
Gender
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Female
Male
Non-binary
Prefer not to disclose
Do you identify as 2SLGBTQI+?
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Yes
No
Prefer not to disclose
What is your population group (Select what is applicable)
White
South Asian (e.g., East Indian, Pakistani, Sri Lankan)
Chinese
Black
Filipino
Arab
Latin American
Southeast Asian (e.g., Vietnamese, Cambodian, Laotian, Thai)
West Asian (e.g., Iranian, Afghan)
Korean
Japanese
Other group
Prefer not to disclose
Do you identify as First Nations, Métis and/or Inuk/Inuit? (Select what is applicable)
No - Does not Identify
Yes - First Nations
Yes - Inuk/Inuit
Yes - Métis
Prefer not to disclose
Are you a person living with disability?
- Select One -
Yes
No
Prefer not to disclose
What type of disability are you currently living with?
- Select One -
Prefer not to disclose
Physical
Mental
Sensory
Other
Impairment types that can be classified for Para Rowing.
Select what is applicable
Ataxia
Atheosis
Hypertonia
Impaired muscle power
Impaired range of movement
Limb deficiency
Other
Vision impairment
Para-Rowing Classifications
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PR1 - formerly Arms & Shoulders
PR2 - formerly Trunk & Arms
PR3 - formerly Legs, Trunk & Arms
I have not received an official classification
International Blind Sports Classification
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B1
B2
B3
I have not received an official classification
Date of Birth
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Date of Birth
Month
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Date of Birth
Year
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1924
Language Preference
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English
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