| Document Date: 2014-05-23 05:50:47
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Organization Scales for Coordination / Rower Name___________________ National Federation / Federation of Rower / National Federation / Scales / No / Active / / Person Ankles Flexion (Plantarflexion) / Classifier / / Position physician / athlete N/A Rower / FISA PARA-ROWING FUNCTIONAL CLASSIFICATION ASSESSMENT CHART Rower / spm Rower / Print Name Time Rower / minutes Athlete / Comments Describe rower / FISA Chief / Athlete / ROWER / para rower / / Product All medication / /
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CONSENT FOR FISA ADAPTIVE ROWER CLASSIFICATION