2021 NSW State Championship Cross Bio-zone Registration Form
This form is for all Team Managers, Officials and Coaches that are required to attend more than one bio-zone throughout the 2021 State Championship Events. NB: permission to cross any age bio-zone (25-28th Feb) will not be granted. The purpose of this form is to ensure that SLSNSW is aware of all people required to attend more than one bio-zone during these Championship Events when there is a week in between Events. Please ensure that you enter the correct details as the SLSNSW Surf Sports Team will be cross-checking all applications. Thank you for your understanding and support in delivering COVID-Safe State Championship Events.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
What club do you represent?
*
Please Select
Austinmer
Avalon Beach
Avoca Beach
Ballina Lighthouse and Lismore
Batemans Bay
Bellamni
Bellinger Valley-North Beach
Bermagui
Bilgola
Birubi Point
Black Head
Bondi
Bronte
Broulee Surfers
Brunswick
Bulli
Bungan Beach
Burning Palms
Byron Bay
Cabarita Beach
Camden Haven
Cape Hawke
Catherine Hill Bay
Caves Beach
Clovelly
Coalcliff
Coffs Harbour
Coledale
Collaroy
Coogee
Cooks Hill
Copacabana
Corrimal
Cronulla
Crowdy Head
Cudgen Headland
Dee Why
Dixon Park
Elouera
Era
Evans Head- Casino
Fairy Meadow
Fingal Beach
Fingal Rovers
Foster
Freshwater
Garie
Gerringong
Hat Head
Helensburgh-Stanwell Park
Kampsey-Crescent Head
Kiama
Kiama Downs
Killcare
Lennon Head – Alstonville
Long Reef
Macksville-Scotts Head
MacMasters
Manly
Maroubra
Merewether
Minnie Water-Wolli
Mollymook
Mona Vale
Moruya
Nambucca Heads
Narooma
Narrabeen
Newcastle
Newport
Nobbys
North Avoca
North Bondi
North Cronulla
North Curl Curl
North Entrance
North Narrabeen
North Palm Beach
North Steyne
North Wollongong
Nowra-Culburra
Ocean Beach
Pacific Palms
Palm Beach
Pambula
Port Kembla
Port Macquarie
Queenscliff
Red Rock-Corindi
Redhead
Salt
Sandon Point
Sawtell
Scarborough-Wombarra
Shellharbour
Shelly Beach
Shoalhaven Heads
Soldiers Beach
South Curl Curl
South Maroubra
South Narrabeen
South West Rocks
Stockton
Sussex Inlet
Swansea Belmont
Tacking Point
Tamarama
Taree-Old Bar
Tathra
Tea Gardens-Hawks Nest
Terrigal
The Entrance
The Lakes
Thirroul
Toowoon Bay
Towradgi
Umina Beach
Urunga
Wamberal
Wanda
Warilla-Barrack Point
Warriewood
Wauchope-Bonny Hills
Whale Beach
Windang
Wollongong City
Woolgoolga
Woonona
Yamba
Back
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Please select the Championship Events you are required to attend (NB request to cross any Age bio-zone i.e. U9-U14 will be rejected);
U9-U11 Beach
U9-U11 Water
U12-U14 Beach
U12-U14 Water
Open Championships - Beach (Saturday only)
Open Championships - Water
Masters Championships - Beach and Water
Lifesaving Championships
Surf Boat Championships
What is the first Championship Event you will be attending and what role will you be fulfilling?
Official
Coach
Team Manager
Other
U9 - U11 Beach Championships
U9 - U11 Water Championships
U12 - U14 Beach Championships
U12 - U14 Water Championships
Open Water Championships
Open Beach Championships
Masters Championships
Lifesaving Championships
Surf Boat Championships
Inclusion Championship Event (U12-14 Water)
If you have selected 'other' in the above section, please further specify.
What is the second Championship Event you will be attending and what role will you be fulfilling?
Official
Coach
Team Manager
Other
U9 - U11 Beach Championships
U9 - U11 Water Championships
U12 - U14 Beach Championships
U12 - U14 Water Championships
Open Water Championships
Open Beach Championships
Masters Championships
Lifesaving Championships
Surf Boat Championships
Inclusion Championship Event (U12-14 Water)
If you have selected 'other' in the above section, please further specify.
If you are required to attend more then two Championship Events, please select yes below and the Surf Sports team will be in contact.
Yes
Submit
Should be Empty: