Surf & Survive 2026

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REGISTRATION FORM
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Surf And Survive, teaches kids about Water & Surf Awareness and Rescues Technique in a fun, supervised environment.

Who: 7-16 years old

When: 3 week program run on Wednesdays

Wednesday 14th of January

Wednesday 21st of January

Wednesday 28th of January

Each session will be different, participants are encouraged to attend all three sessions to get the full experience.

Where: Lake Alexander, East Point Reserve

Time: 9:00am Start - 11 am Finish

Registration Limits: To ensure the safety of everyone involved, the program will be capped at 30 participants.

For more details please email our development officer Maddi james.

Maddi.james@lifesavingnt.com.au
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Name* This field is required.Parent / Guardian Details
First Name
Last Name
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Email Address* This field is required.Parent / Guardian Details
SLSNT will send reminders about the Program to this address
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Mobile Number* This field is required.Parent / Guardian Details
SLSNT will use this number in case of bad weather or emergency cancellation of session
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Participant Details* This field is required.Program is for 7-16 year old's
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Please select which sessions the participants will be attending* This field is required.It is recommended that they attend all three sessions to get the most out of the Program
Session 1 - Wednesday 14th of January
Session 2 - Wednesday 21st of January
Session 3 - Wednesday 28th of January
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Do you give SLSNT permission to take photographs of your child involved in this activity?* This field is required.SLSNT activity photos are used on our Facebook/Instagram page for promotional purposes.
Yes, I give permission
No, I don't give permission
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How did you find out about this activity?* This field is required.This info helps us make sure future programs are advertised well
Sign / Poster
Flyer
Google / Other search engine
Facebook/ Instagram
Friend/ Word of Mouth
Youth NT School Holiday Calendar
Other
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Please accept the following conditions:* This field is required.
A parent/guardian will attend each session with my child/children and remain at the waters edge for the duration of the session.
If for any reason my child/children can no longer attend the program I agree to notify Surf Life Saving NT.
I understand that I will be emailed confirmation of my child / children's registration as well as reminders and program updates as required.
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What Happens Now?

Thank you for your interest in this Program.

When you submit this form it will be sent directly to SLSNT, a copy will also be sent to you.

SLSNT will then confirm with you, by email, your registration in the Program.

SLSNT will do our best to accomodate all registrations but this program is expected to be popular and fill fast.
Should be Empty: