Guru Contact and Interests Form

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Patrol*

Patrol 1Patrol 2Patrol 3Patrol 4

Do you give permission for pictures to be taken and put up on Grommet Gurus Social Media Platforms?*

YesNo

What are your interests both in and out of lifesaving?*

Do you mind mentoring more than 1 Grommet?*

YesNo

We are planning an online Guru Meeting. What following dates are you available?*

Wednesday 23rd November 6:30pmSunday 27th November 6:30pmSunday 4th December 6:30pmWednesday 7th December 6:30pm

Any Questions?