SLSQ Club Affiliation Form 26/7

SLSQ Affiliation Form 26/27 - CLUBS
CLUB INFORMATION
Club
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Website
Australian Company Number (ACN) (if a registered)
Australian Business Number (ABN) (if a registered)
FINANCIAL INFORMATION
Auditing Company Name
Name of Auditor
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (00) 0000-0000.
Closing Date of Financial Year

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
2026 AGM DATE

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Proposed 2027 AGM DATE

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Club Contacts
Presidents Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Gender
Treasurers Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (00) 0000-0000.
Gender
Secretarys Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (00) 0000-0000.
Gender
Club Administrators Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (00) 0000-0000.
Gender
Deputy President

First NameLast Name
Gender
Chief Training Officer

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (00) 0000-0000.
Gender
Club Captain

First NameLast Name
Gender
Membership/ Youth Officer

First NameLast Name
Gender
Complaints Manager

First NameLast Name
Gender
Surf Sports Officer

First NameLast Name
Gender
JAC

First NameLast Name
Gender
SUPPORTERS CLUB INFORMATION
Does your club have a supporters club?
Supporters Club Presidents Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Supporters Club Manager Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
2025 Supporters Club AGM

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Supporter Club ABN Number
Total Supporters Club Members
Number of Pokie Machines
Operation Details (If they have a full license - number of days OR if they have a partial license - total hours)
Supporters Club Consitution

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Supporters Club Financials

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AFFILIATION RESOLUTION
Please be advised that at a constituted Annual General Meeting (AGM) of the association held on the above listed date. The following resolution was carried

"That the Club seeks to formally affiliate with the Branch, Surf Life Saving Queensland Inc. and Surf Life Saving Australia Ltd and further that the Club agrees to abide by the Constitutions, Rules and Regulations, Policies and resolutions together with the awards and equipment of Surf Life Saving Queensland Inc. and Surf Life Saving Australia Ltd"
Date of motion above endorsed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Child Safety Audit
As all clubs would be aware, auditing is a normal part of ensuring that the organisation is up to standard and identifies any areas for improvement. By completing this audit, Clubs can ensure that child safety and wellbeing are embedded in governance, culture, and day-to-day operations. It helps identify areas for improvement, highlight good practices, and ensure compliance with relevant legislation.

Please upload the ‘Child Safety Standards & CYRMS Club Audit Form’ below.
Child Safety Standards & CYRMS Club Audit Form

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CLUB DECLARATION
Must be completed by Club President or Secretary
Name

First NameLast Name
Position
Should be Empty:

SLSQ Affiliation Form 26/27 - CLUBS

CLUB INFORMATION

FINANCIAL INFORMATION

Club Contacts

SUPPORTERS CLUB INFORMATION

AFFILIATION RESOLUTION

Child Safety Audit

CLUB DECLARATION