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
*
State
Postage Address
*
WWCC Number
Do you require a new name badge?
*
Yes
No
Name on Badge
*
Do you Require a new logbook?
*
Please Select
Yes
No
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
Please upload logbook evidence:
*
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