Blue Card Organisation Link Request

Blue Card Organisation Link Request

Blue Card Organisation Link Request

Applicable for linking Blue Card Services registration accounts and valid Blue Cards and Exemption Blue Cards to SLSQ.
Surfguard Member ID Number (if known):

Your Details:*

First NameLast Name
Date of Birth:*

DayMonthYear
Date
Email:*
example@example.com

Type of Blue Card Application:*

New application (never held a Blue Card before)Renewing Blue Card applicationExemption Blue Card applicationBlue Card from another organisation

Type of Blue Card:*

VolunteerPaid employeeExemption (applicable for Queensland registered teachers and police officers)

Your Club/Organisation:*
Other:

Blue Card Services Account Number:*
Received from Blue Card Services via email after completing the first step of your registration. If you do not have this number, either provide your Blue Card number below or contact Blue Card Services directly to obtain.
Blue Card Number:*
For members who have a current Blue Card. This number will be printed on the front of the card. Example: 1234567/1.

Privacy Acknowledgement:

I understand that the information I have provided in this form is necessary for the proper management of this activity and for the administration of Surf Life Saving related activities in Australia.

The information is collected in accordance with the SLSQ Privacy Policy.

SLSQ may share my information with SLS affiliates in accordance with the Privacy Policy and it may also be used to notify me of other events, news, and to offer the provision of services, including by third-party providers, to me.

I understand that the SLSQ Privacy Policy contains information about how I may access and request correction of my personal information held, or make a complaint about the handling of my personal information, and provides information about how a complaint will be dealt with. If the information is not provided, my application may be rejected or services may be unable to be provided to me.

I acknowledge that if I do not wish to receive promotional material from SLS sponsors and third parties I may advise in writing or via the opt-out process provided in the relevant communication.

Privacy complaints should be directed to the Organising entity, Club, Branch or State in the first instance or to privacy@slsa.asn.au.
Member Acknowledgement:*

I acknowledge and consent to the above.
Should be Empty: