• SLSQ Special Event Application Form

  • Prior to submitting this application:*

  • Note: Special Event coverage under the National SLS Insurance Policy is only for SLS members and does not extend to non SLS members. An extension of scope is required for events that involve non SLS Members at an additional cost.

  • Section 1- Apply Surf Club/Service

  • Format: 0400 000 000.
  • Will the Surf Club/Service be remunerated for providing a service?*
  • Will any of this remuneration be paid to individual members? NOTE: That should an individual member accepts payment, this may impact their ability to claim WorkCover in the event of an injury. Members are to be made aware of this prior to agreeing to payment.*
  • Do all SLS adult members taking part in the event hold a current and valid blue card?*

  • Section 2- Special Event Details

    Details of the event that the Club/Service is involved in.
  • Event Type*
  • Start Date of the Event*
     - -
    2 digit day, 2 digit month, 4 digit year
  • End Date of the Event*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Event Day of the Week- To be completed if over multiple days*
  • Acknowledgement that the Surf Club will ensure that SLS Non-Member waiver will be completed prior to undertaking any lifesaving activity.*
  • Format: (000) 000-0000.
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  • The Surf Club/Service is aware of the risks associated with the event and the expectations required by the organiser:*
  • Aquatic Information for the Event*
    Rows

  • Section 3- SLS Members

  • Section 4- Safety Equipment

  • Safety Equipment for the Event. *
    Rows

  • Section 5- Additional Information

    Please upload any additional documents relevant to the event, or use the additional information section to provide further details if required.
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  • Acknowledgement Section

    By completing this section, you are acknowledging that you have permission on behalf of the Club/Service to complete the application form and committing to all the terms and conditions within the approval process.
  • I acknowledge that I am submitting this application on behalf of my Club/Service and have the relevant approval from the President/Manager.*
  • Has the event been approved in Club Management Meeting Minutes prior to submitting this application.*

  • I confirm that all information provided in this application is true and correct. I acknowledge that by participating in this activity, all Surf Life Saving members are required to comply with all relevant SLSA and SLSQ policies and procedures at all times.

    I confirm that as part of the approval process, the Club/Service will adhere to all the Terms and Conditions listed. Failure to meet these terms will result in no coverage for the event under the SLS Insurance Policy.

  • Date
     - -
    2 digit day, 2 digit month, 4 digit year
  • Should be Empty: