Lifesaving Development Camp 2025 Candidate Nomination
Open to patrolling members 16-21yrs, the camp runs from 03-09 January, 2025
Candidate Name
*
First Name
Last Name
Candidate Email
*
example@example.com
Candidate Phone Number
*
-
Area Code
Phone Number
Date of Birth
*
-
Day
-
Month
Year
Date
Candidate's Club / Unit
*
Club / Unit Member endorsing your application (include their position in the club/unit and their contact details)
*
Any relevant information to support your application
Parent / Guardians Name (if under 18yrs)
First Name
Last Name
Relationship to Candidate
Parent / Guardians Email (if under 18yrs)
example@example.com
Parent / Guardians Phone Number (if under 18yrs)
-
Area Code
Phone Number
Submit
Should be Empty: