Guru Contact and Interests Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Patrol
*
Patrol 1
Patrol 2
Patrol 3
Patrol 4
Do you give permission for pictures to be taken and put up on Grommet Gurus Social Media Platforms?
*
Yes
No
What are your interests both in and out of lifesaving?
*
Do you mind mentoring more than 1 Grommet?
*
Yes
No
We are planning an online Guru Meeting. What following dates are you available?
*
Wednesday 23rd November 6:30pm
Sunday 27th November 6:30pm
Sunday 4th December 6:30pm
Wednesday 7th December 6:30pm
Any Questions?
Submit
Should be Empty: