Bronze Medallion Information Session
7pm - 8pm Tuesday 8 September 2026, The Hub
Name
*
First Name
Last Name
Date of Birth
*
/
Day
/
Month
Year
Mobile
*
Format: 0000 000 000.
Email
*
How would you rate your confidence in an ocean water environment
*
No Confidence
1
2
3
4
Extremely Confident
5
1 is No Confidence, 5 is Extremely Confident
Are you a member of West Beach SLSC (e.g. Nipper Parent, Associate)?
No
Yes
Have you ever been a member of any Australian surf life saving club?
No
Yes
Please provide the name of your last club:
This will enable us to transfer your membership to West Beach SLSC
Do you have a current South Australian Working With Children Check?
No
Yes
Submit Form
Should be Empty: