Community Programs Registration Form

Community Programs Registration Form
Thank you for selecting Surf Life Saving Tasmania to deliver a program for your school or community group.

Please complete the form with as much detail as possible. This will help us tailor the program to your specific needs and provide you with a customised plan.

If your preferred option isn't listed, please select "OTHER" and let us know your special requirements.

Participant Details
What age or grade are the participants?
How many participants will be involved?
To be inclusive of everyone's needs, are there any considerations our presenters should be made aware of?
Do you require access to beach wheelchair/s for this program?
If yes, how many do you require?

Staff Details

If you have selected 'Ready. Set Rescue!' or 'Surf Survival', please answer the following
Will you be bringing any adults to the program that hold their Community Surf Life Saving Certificate (CSLSC) or full Bronze Medallion?
If the Primary Contact will not be attending, please provide a contact of the staff member who will be present:
Attending Staff Member Name

First NameLast Name
Contact Email
example@example.com
Contact Number
Please enter a valid phone number.Format: (000) 000-0000.

Media Consent

On occasion Surf Life Saving Tasmania engages various media to help promote the program and respective safety messages. Please select your preference.
Please Select an Option

Organisation Details