PLSLSC Course Expression of Interest

PLSLSC Course Expression of Interest

IRB Driver - ART - First Aid
Thank you for your interest in completing courses with Point Lookout Surf Life Saving Club. It takes a special person and mindset to wear the iconic colours of red and yellow that instill trust and confidence within the community.

Before you dive into the course, kindly review the following mandatory requirements for your relevant course. Please also note, all participants must:
- Be a financial member of an SLS club
- Valid Blue Card (if over 18)
Personal Details
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth*

MonthDayYear
Date
MaleFemaleDo not wish to identify
IRB DriversIRB CrewsFirst AidARTBronze MedallionRadio and Observers
YesNo
YesNo
YesNoOther
If other, please specify.
Occupation
YesNo
YesNo
If you are under 18, please complete the following details.
Guardian name

First NameLast Name
Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Do you have any medical conditions? If yes, please list below.*
PatrollingCompetitionCommunityNipper Water SafetyOther
Should be Empty:

Personal Details