Kirrs SLSC Dorm Booking Form

Kirra SLSC Dorm Booking

Must be booked a minimum of 3 days before stay
Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Please enter a valid phone number.Format: 0400-000-000.
Reason for stay at Kirra SLSC*
If 'Other Lifesaving Service/Event' is selected you will be contacted for more details
Arrival Date & Approx. Time*

DayMonthYear

Hour MinutesAM/PM Option
Departure Date & Approx. Time*

DayMonthYear
Date
Hour MinutesAM/PM Option
Which Dorm room is bed required in?*

FemaleMale
Number of Guests*
You must complete your own booking form. Select 1 unless you are a family (must all be members) or another club that may be staying. You cannot book for friends!
EMERGENCY CONTACT DETAILS
Emergency Contact Name: First Name* Last Name*
Emergenct Contact Phone No: Phone Number*
Relationship to contact: blank*
UNDER 18's - I am under 18 years of age and require a chaperone. My chaperone is blanks . Their contact phone number is blank . My chaperone knows they also need to complete a separate booking form.
IMPORTANT DOCUMENTS

- Kirra U18 Permission Form

- Chaperone Policy

- Kirra SLSC Dorm & Clubhouse Policy

- Members Code of Conduct

- Code of Conduct for People in Position of Authority
* I confirm I will be over the age of 18yrs when staying. If not, I understand that I must complete and lodge a Kirra U18 Permission form prior to staying at the club and have a Chaperone over 18 years of Age staying. PLEASE TICK ANY BOXES THAT APPLY*

Yes, I am over the age of 18Yes, I am under 18, have completed an U18 permission form & have arranged a ChaperoneYes, I am 18+ and agree to act as Chaperone. I have read & understand the Chaperone Policy
* I confirm I have read, understand and agree to abide by the following - the Kirra SLSC Dorm Policy, Members Code of Conduct and Code of Conduct for People in Position of Authority.*

Yes I agree
* I understand no bed linen will be provided and that I MUST bring a single bed fitted sheet, pillow and blanket/doona/sleeping bag.*

Yes will provide my own bed linen
Should be Empty:

Kirra SLSC Dorm Booking

IMPORTANT DOCUMENTS