2026/27 SLSWA/ASLSC Volunteer Declaration Form

2026/27 SLSWA & ASLSC Volunteer Declaration Form

STRICTLY CONFIDENTIAL
This form must be completed by a:
- parent seeking a volunteering exemption in child-related work at a Surf Life Saving WA affiliated club; or
- a youth member, 13 - 17 years of age, volunteering in child-related work at a Surf Life Saving WA affiliated club to be signed by their parent/guardian
Important Notes:
- Individuals issued with a Negative Notice or Interim Negative Notice under the Working with Children (Screening) Act 2004 are not entitled to access the parent or child volunteer exemptions
- The parent volunteer exemption is not available for parents intending to be involved in overnight camps (Category 15)
Read the following and tick (✓) the box to declare:
I certify the accuracy of the above information. I am aware I must notify my Surf Life Saving Club if my circumstances change to preclude me from working with children. I will not volunteer if I am issued a Working with Children Negative Notice or Interim Negative Notice.
Name

First NameLast Name
Name of Parent/Guardian of child volunteer (if under 18)

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Signature
Should be Empty:

2026/27 SLSWA & ASLSC Volunteer Declaration Form