Bunk Request Form

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?*

YesNo
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?*

UpstairsDownstairs

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?*

YesNo
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*

Yes
SLSQ - Code of Conduct
I have read and understand the SLSQ Code of Conduct*

Yes

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: