Surf Life Saving Australia IT Systems User Account Application Form 049

Surf Life Saving Australia IT Systems User Account Application Form 049

The IT Systems User Account Form 049 needs to be completed for any person requiring access to SurfGuard or the Sport Event Management System (SEMS). Please note access requests will be actioned within 3 working days. If you have any issues with the application process please log these at https://help.sls.com.au
Branch Name - this is the branch your club is affiliated to*
Eg: enter club name for club access / enter Branch name for Branch access etc
Club Name - Central Coast*
Club Name - Far North Coast*
Club Name - Far South Coast*
Club Name - Hunter Branch*
Club Name - Illawarra Branch*
Club Name - Lower North Coast*
Club Name - Mid North Coast*
Club Name - North Coast*
Club Name - South Coast*
Club Name - Sydney Branch*
Club Name - Sydney Northern Beaches*
Service Type/s - this is the level of access allocated*

Club LevelBranch LevelOther
Account Type*

New AccountAmend AccountReactivate AccountDeactivate AccountRenew Account
Access level required
Access level required*

SEMS Access onlyIncidents IRDJunior CoordinatorsOfficials Attendance ManagementSurfguard - Education Module OnlySurfguard - Email and SMS OnlySurfguard - Full AccessSurfguard - Members OnlySurfguard - Organisational Management OnlySurfguard - Patrol Module OnlySurfguard - View Only Access
User Agreement

Please ensure that all users who are applying for access to an SLSA system sign below.
User Name*

First NameLast Name
User Date of Birth*

DayMonthYear
Date
User Signature*

Clear
Date*

MonthDayYear
Date
Relevant SLSA Policies

By Applying for and/or using any Surf Life Saving Australia IT system you are governed by and agree to abide by SLSA Constitution, its By-Laws, Regulations and Policies including (but not limited to): 6.1 Intellectual Property, 6.2 SLSA Privacy Policy, 6.19 Terms of Use Policy, 6.20 Use of Social Media. Such policies and procedures can be viewed on the SLSQ Members Portal. It is important that you keep your login passwords to SLSA IT systems secure, you should never give out your password. Any misuse of data or systems will lead to disciplinary action.Privacy notice: the collection of the below information is necessary for the performance of SLSA's duties. SLSA may also store information from individuals for statistical and reporting purposes and as required by law. All information is handled in accordance with the SLSQ Privacy Policy. Individuals may correct or edit any of their details via Lifesaving Online or by contacting their club. SLSA Policies
SLSA Policies
I, as the User, have read the above and agree*

Yes, I agree
Account and User Information
User Position / Role*
User Phone Number*

Area CodePhone Number
User Email*
example@example.com
Account Username (if applilcable)
Start Date of Access / Deactivation Date*

MonthDayYear
Date
End Date - If access is only required for a set period of time.

MonthDayYear
Date
Please note your access will only be granted for 12 months and then we be required to be renewed.
Account needs access to:*

SurfguardSports Event Management System (SEMS)
Authorising Officer Details (must be Executive Committee Member)

Note: Applicants are not able to authorise their own Form 049
Authorising Officer Name*

First NameLast Name
Authorising Officer Position*
Authorising Officer Email Address*
Authorising Officer Phone Number*

Area CodePhone Number
Date*

MonthDayYear
Date
Should be Empty:

Surf Life Saving Australia IT Systems User Account Application Form 049

User Agreement

Relevant SLSA Policies

Account and User Information

Please note your access will only be granted for 12 months and then we be required to be renewed.

Authorising Officer Details (must be Executive Committee Member)