Surf Sports Official Reaccreditation Form
Full Name
*
Email
*
example@example.com
Surf Club
*
Please Select
Tea Gardens Hawks Nest SLSC
Fingal Beach SLSC
Birubi Point SLSC
Stockton SLSC
Nobbys SLSC
Newcastle SLSC
Cooks Hill SLSC
Dixon Park SLSC
Merewether SLSC
Redhead SLSC
Swansea Belmont SLSC
Caves Beach SLSC
Catherine Hill Bay SLSC
Mobile Number
*
Format: 0000 000 000.
State
Postage Address
*
Working With Children Check Number
*
Do you require a new name badge?
*
Yes
No
Name on Badge
*
Level of reaccreditation applied for:
*
Core Official
Technical Official
Senior Official
Please select the box(es) that best suit your current officiating situation (please note you must provide logbook evidence to gain the accreditation) Marshall/ Check Marshall Finish Judge Sectional Referee Starter/ Check Starter Chief Judge Recorder Timekeeper Area Referee Referee
*
Marshall/Check Marshall
Finish Judge
Sectional Referee
Starter/Check Starter
Chief Judge
Recorder
Timekeeper
Area referee
Referee
Other
Branch
*
Name and position
*
Date
*
-
Day
-
Month
Year
Date
Do you have a minimum of 100 points in the accreditation period logged and approved in the SLS Officials electronic logbook?
*
Yes
No
Please upload supplemental evidence of 100 points of officiating activity:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: