SRC Trainer & Water Safety EOI Form
If you are interested in expressing interest to train or provide water safety for SRC please fill out this form. SRC Dates: 27th - 30th December 2024
Full Name
*
First Name
Last Name
Email
*
example@example.com
Mobile
*
Please enter a valid phone number.
What role are you hoping to hold on camp?
Training
Water Safety
Assessor
What dates are you available?
December 27th
December 28th
December 29th
December 30th
Awards you hold
Bronze
ART
First Aid
IRBC
IRBD
SMAR
Gold
SMPC
Year you completed your Bronze Medallion
2023/24
2022/23
2021/22
2020/21
Other
Do you have your TOC award? *We understand there has been difficulties with obtaining this award, please still apply for what you're interested in regardless of holding TOC*
Yes
No
Further comments
Submit
Should be Empty: