Membership Interest Form
Let us know what info you are looking for and we'll share our season plans as soon as we can.
Select Membership Types or Programs of Interest
*
Family Membership
Active Patrolling Membership
Non-Active Associate Membership
Club Supporter (Social Membership)
Nippers (Dec 2021 / Jan 2022)
Bronze Camp (Dec 2021)
Surf Rescue Certificate (Dec 2021 / Jan 2022)
Name
*
First Name
Last Name
Mobile Number
*
04xxxxxxxx
Email
*
example@example.com
Submit
Should be Empty: