Bunk Request Form

Bunk Request Form
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Blue Card Number and Expiry
I am a financial Bilinga SLSC member?
Which club are you a financial member of?
Reason for stay at Bilinga SLSC
Arrival date (must be after 4pm)
Departure date (vacate by 7am)
Which dorm room is requested?

Emergency Contact Information
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

I am under 18?
Chaperone Name

First NameLast Name
Chaperone Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Under 18 Overnight Stay Permission Form - to be completed by parent/guardian
Completed Form Upload - Under 18 Permission to Stay at Club

Cancelof

Bilinga Bunkroom Policy
I have read and understand the Clubhouse Bunkroom Policy
SLSQ - Code of Conduct
I have read and understand the SLSQ Code of Conduct

This is only a request to stay at Bilinga SLSC. Once submitted, you application will be endorsed by the club Board.

Please remember:

- To bring you own bedding (single fitted sheet, pillow, blanket/sleepign bag)

- To clean the facilities (toilets/showers/kitchen/bunkroom) prior to your departure
Signature
Should be Empty: