Future Lifesavers Program

Future Lifesavers Program - EOI

A program for 13-15yo's in Summer 2026. The program will be held in Whyalla and Murray Bridge. Participants will work towards completing their Surf Rescue Certificate.
Please note the following important information.

- By the midpoint of the program, participants will need to be able to swim 200m in 5minutes or less.

- Participants are required to have sound written, verbal, mathematical and digital skills.

- Participants will need to have access to a computer/ device to complete online learning.

- Participants are expected to attend the vast majority of sessions. If participants are unable to attend a session, there is an expectation that they notify the relevant pool/ lifesaving club PRIOR to the start time.
Please select the most appropriate option in relation to the above important information.*

Read, understood and not a problemRead, understood and a bit anxiousRead and require additional information (we will contact you)Require additional information (we will contact you)
What program do you wish to be involved in?*

WhyallaMurray Bridge
Candidates full name*

First NameLast Name
Candidates gender*
e.g male
Candidates date of birth

DayMonthYear
e.g. 31/12/2012
Candidates email address*
example@example.com
Candidates Postal Address*

Street Address

Street Address Line 2

SuburbState

Post Code
Parent/Guardian name*

First NameLast Name
Best Parent/Guardian emergency contact number*
Mobile preferred. Please include NAME of emergency contact if different to above.
Parent/Guardian email address*
example@example.com
Does your child take any prescribed medication (including inhalers)?*

YesNo
If YES, please detail NAME of medication, as well as DOSAGE, and TIME required.
Any medication needed should be handed to a Instructor on arrival, with written notes of name, medication, dose, etc.
Any additional information or clarification which would be helpful for our instructors to know?
This may include: allergies, learning disorders, neurological differences, mental health considerations or clarifications to any of the above information. If you noted this on a previous form, thank you, there is no need to repeat here.
Lastly, we are considering some travel assistance for participants (to and from the program) - would you utilise this service?*

Yes, every weekYes, sometimesNoMaybe
I acknowledge the following statements*

If my child's EOI is accepted, I give permission for my child listed above to participate in the SLSSA Future Lifesavers Program, run between February and April 2026I agree that photos taken may be used by Surf Life Saving SA in annual reports or in other official SLSSA publication.I agree to delegate my authority to the SLSSA Staff, Instructors and volunteers involved. Such SLSSA personnel may take whatever disciplinary action they deem necessary to ensure the safety, well-being and successful conduct of the participants as a group, or individually.I also authorise the SLSSA personnel to obtain medical assistance which they deem necessary should an accident occur and agree to pay all medical and dental expenses incurred.I submit the included health information and details of limitations for the activity concerned. I further legally authorise qualified medical practitioners to administer an anaesthetic or carry out necessary surgical procedures if such an eventuality arises.I and my child agree to comply by the Member Code of Conduct as outlined in section 7 of the Member Protection Policy 6.05 (available on the SLS Members Portal)The information given in this form is accurate to the best of my knowledge.
Submitting parent/guardian signature (must be same name as at top of form)

Clear
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Future Lifesavers Program - EOI