Membership Form 2024-25

Membership Registration Form

1st July 2024 to 30th June 2025
Overview of Membership Types:
Age is determined as at the 1st October 2024

• Lifeguard Membership (14+ years) - $60
Lifeguard Membership is a full Club membership that includes access to Club facilities, training and development courses, Fit for Purpose and sports coaching & competitions.

• Active Lifeguard Membership with subsidy (14+ years) - $30
Lifeguards who have completed 30 hours of volunteer patrolling/active service during the 2023-2024 season are entitled to a $30 reduction in registration fees. You can check your hours on your SLSNZ login if required.

• Rookie Lifeguard Membership (12-13 years) - $60
Rookie Lifeguard membership can be included in the Junior Surf membership or stand-alone. Membership includes access to training and development courses and sport.

• Lifeguard Candidate Training and Membership (14+ years) - $100
Includes: Training days, workbooks, pool entry, lifeguard exam and current season membership fee. Once candidate has secured the Lifeguard Award the fee also includes a lifeguard uniform - polo shirt and shorts.

• Junior Surf Membership (5+ years) = 1 Child & 1 Parent/Associate membership - $110
A minimum of one adult must join the Club as an Associate Member (or Lifeguard Member) with Junior Surf membership.

• Additional Junior Surf Athletes (5+ years) - $65
To add any additional children joining Junior Surf to your membership only. If you have more than one child taking part in Junior Surf, you only need one Associate Member per family.

• Associate Membership - $45
Non-competing members, parents/guardians or volunteers. Associate members can access club facilities and vote at the Annual General Meeting.

• Social Membership - $25
Public membership to support the Club and to enable access to enjoy the Club's bar and kitchen known as 'The Deck'.

Personal information collected is for use by both SLSNZ and the Club, including in assessing suitability for membership; health and safety record, disciplinary actions, inter-club activities, SLSNZ events and transfer of membership. Reasonable security safeguards will protect member’s stored data which will only be shared at a Board or administrative level if requested by SLSNZ or other Club’s Board Members.

Address 1 (Home - Primary Family Address)*

Street Address

Street Address Line 2

CityState / Province

Post Code

Beach/Holiday Address - if different from home address
Address 2 (Beach/ Holiday Address)

Street Address

Street Address Line 2

CityState / Province

Post Code

Emergency Person Contact Details
Name*

First NameLast Name
Phone number*

SuffixPhone Number
Relationship to member
Accommodation Agreement (for lifeguards only)
X 14 to 15 year olds are not permitted to stay in the accommodation block un-supervised and are not required to complete the accommodation agreement at this time

X 16 to 17 year olds who wish to stay must firstly seek approval from the club, and their parent or guardian must then provide written proof of permission

ü18+ year olds by signing the accommodation agreement on this form, you acknowledge and agree to the conditions of residence whilst staying at Waihi Beach Lifeguard Services facilities.
Age Range*

14 to 15 Year Old16 to 17 Year Old18+ Year OldNot applicable
Lifeguard/s details*
Terms and conditions of staying in the accommodation block:

● All Accommodation requests must be emailed to the office, with at least 24 hours notice.

● All lifeguards MUST sign in on the designated whiteboard at the bottom of the stairs on arrival and when exiting the building. This is a FIRE REGULATION.

● Rooms must be separate for males and females.

● No visitors or non-members are allowed in the accommodation area.

● No noise after 10 pm. Close doors quietly, no talking or running in hallway as guards patrol in the morning.

● Leave the bedroom in a clean and tidy manner, remove rubbish and no wet gear in rooms.

● Be responsible for cleaning the bathroom, kitchen and hallway with other lifeguards staying in the block.

● No contraband is to be brought into the Club.

Responsibilities:

● Ensure the building, windows, and doors are secure at all times.

● Treat the accommodation block, gear and equipment with respect.

● Report any damage via the QR code located through-out the building or to your Patrol Captain, Board Member or Administration Manager.

● Pay for any damage to property caused by the lifeguard.

● Pay for any costs associated with a lack of cleanliness left by the lifeguard.
I have read and understood the accommodation agreement and agree to the above conditions:*

I understand and agree to provide the club with lifeguarding services or 4 hours of non-patrol service for each night of occupancy

Payment

Total fee below is generated from Membership Types as selected earlier. If you are not sure if this is correct please select payment 'Other' and we will look into and contact if further details are required.
Total of membership fees
Payment is required before the season starts or by the 20th October 2024. Please advise payment option*

Payment online by credit cardPayment on receipt of invoiceOther
Comments, notes or further details for our information

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Membership Agreement

By signing this membership form, I am accepting all of the terms & conditions outlined in the Code of Conduct below (please read)
I permit club photographs featuring me or our family to be used for media purposes promoting Waihi Beach Lifeguard Services*

YesNo
Signature of Member/s*

Clear
Signature of Parent (if any Member is under 18 years of age)

Clear
Should be Empty:

Membership Registration Form

Emergency Person Contact Details

Accommodation Agreement (for lifeguards only)

Payment

Membership Agreement