LIFE MEMBER NOMINATION FORM 2025-2026

LIFE MEMBER NOMINATION FORM 2025-2026
You will require the email address of the person you would like to second your nomination. This will then send them an email to complete their signature.

Full lifesaving history of Nominee must be attached for nomination to be considered.

Nominations close 11.59pm on Wednesday 29th April 2026.
NOMINEE
NOMINEE NAME:*

First NameLast Name
NOMINATOR
NOMINATOR NAME:

First NameLast Name
NOMINATOR EMAIL:
example@example.com
SUPPORTING DOCUMENTATION:

Cancelof
Provide details of Nominee's distinguised, extraordinary, outstanding and conspicuous service to The Club:
Type details here
NOMINATOR TO SIGN
Signature
Date

DayMonthYear
Date
SECONDER TO COMPLETE
SECONDER NAME:*

First NameLast Name
SECONDER EMAIL:*
example@example.com
SECONDER TO SIGN
Signature
Date

DayMonthYear
Date
Election of Life Members:
Life Members of The Club may be elected from the members who have:
- Fifteen (15) years of membership with The Club;
- Rendered a minimum of ten (10) years of distinguised, extraordinary, outstanding and conspicuous service to The Club within the area of, or on behalf of The Club.
- Nominations for Life Membership are to be received by The Club in writing a minimum of sixty (60) days before the Annual General Meeting of The Club. The nominations must be moved and seconded by two (2) separate current financial members.
Should be Empty:

NOMINEE