Lifesaving Regional Capability Building Workshop

Lifesaving Regional Capability Building Workshop

Please fill out this form to register your attendance for the upcoming workshop.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Club*
Which Workshop are you registering for?*
Please Note you can only register for one workshop.
Position(s) Held in Club/Branch*
Why do you want to participate in the Lifesaving Regional Capaility Building Workshop?*
Shirt Size*
Note these are Unisex Sizes
Dietary Requirements
Acknowledgement
I understand that if I register and do not attend this workshop, a $150 no-show fee will be charged to my relevant club.

I understand
Signature*

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Acknowledgement