Surf Life Saving Sydney Northern Beaches
REGISTRATION & NIPPER INFO FOR 2023/24
Club Name
*
Manly
North Steyne
Queenscliff
Freshwater
South Curl Curl
North Curl Curl
Dee Why
Long Reef
Collaroy
South Narrabeen
Narrabeen Beach
North Narrabeen
Warriewood
Mona Vale
Bungan Beach
Newport
Bilgola
Avalon Beach
Whale Beach
Palm Beach
North Palm Beach
FIRST DATE FOR REGISTRATIONS
Date
-
Month
-
Day
Year
Date
Start Time
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
End Time
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
SECOND DATE FOR REGISTRATIONS
Date
-
Month
-
Day
Year
Date
Start Time
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
End Time
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Are you doing Online registrations
Yes
No
Details for Online Rego
LOCATION OF REGISTRATION
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Start Date of Nippers
-
Month
-
Day
Year
Date
Start Time of Nippers
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
End Time of Nippers
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Contact Name
First Name
Last Name
Contact Mobile
-
Area Code
Phone Number
Contact Email
example@example.com
Additional Contact
First Name
Last Name
Mobile
-
Area Code
Phone Number
Email
example@example.com
ADDITIONAL INFO
Save
Submit
Print Form
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