Cooks Hill Education
Request for Information regarding courses
Parents Name
*
First Name
Last Name
Phone Number
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Area Code
Phone Number
Email
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example@example.com
My Child's Name
My child's DOB (if applicable)
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Register my child's interest for Surf Rescue Certificate (minimum age 13 years old)
Squad 2: September to December
Squad 3: January to March
Register my or my child's interest for Bronze Medallion (minimum age 15 years old)
Squad 2: September to December
Squad 3: January to March
Register my interest for the following courses:
Silver Medallion Aquatic Rescue
Resuscitation (minimum age 10 years old)
First Aid (minimum age 14 years old)
Advanced Resuscitation Techniques (minimum age 15 years old)
Inflatable Rescue Boat Crew (minimum age 15 years old)
Silver Medallion Inflatable Rescue Boat Driver (minimum age 16 years old)
Silver Medallion Beach Management Patrol Captain
Age Manager - Nippers
SLSNSW Training Officer Certificate
Submit
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