SRC/Bronze Live in Camp

Please fill out this form for your child to attend the SRC / Bronze day camp. The cost of the camp is $100. All children attending the camp must be financial members of the Dicky Beach Surf Life Saving Club prior to attending. All monies for the camp are to be paid by Friday 4th September 2026.

Parent volunteer helpers are required for the camp to go ahead. Later in the form there are roles that require volunteers. Please nominate where you can.

Candidates are encouraged to complete their pool swim prior to attending the course. This can be done by a trainer at DBSLSC or a registered pool instructor. Thank you.

Dates of the camp are as follows:

Day	Date	Time	SRC	BM	Activity
Sun	20-Sep-26	9:00am	Y	Y	Pool swims - if required Kings Beach Pool
Mon	21-Sep-26	8:30am to 5:00pm		Y	Day Camp Bronze candidates only - First Aid
Tues	22-Sep-26	8:30am to 5:00pm	Y	Y	Day Camp SRC and Bronze candidates
Wed	23-Sep-26	8:30am to 5:00pm	Y	Y	Day Camp SRC and Bronze candidates
Thurs	24-Sep-26	8:30am to 5:00pm	Y	Y	Day Camp SRC and Bronze candidates
Fri	25-Sep-26	8:30am to 2:00pm	Y	Y	Day Camp SRC and Bronze candidates

Child's Name

First NameLast Name

Parent/Guardian Name

First NameLast Name

Child's Date of Birth

Date

Parent/Guardian Email

example@example.com

Parent/Guardian Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Doctor's Name

Doctor's Phone Number

Medicare Card Number

Medication if required

Special Dietary Information

Please choose the training course you would like to do

Cost of the camp is $100. You will also need a Hi-Viz Rashie and a Patrol Cap. Please tick if you do not have one and need to purchase. These can be picked up at the start of the camp.

Please volunteer some time to help with preparing Morning Tea, Lunch and Afternoon Tea and also cleaning up afterwards. Select days and sessions you are available.

Rows	Morning Tea	Lunch	Afternoon Tea	Cleaning
Mon 21 Sept BM
Tues 22 Sept SRC & BM
Wed 23 Sept SRC & BM
Thurs 24 Sept SRC & BM
Fri 25 Sept SRC & BM

To provide appropriate support and ensure a safe environment for all participants and families, every session requires the presence of a second adult. We require this role to be a volunteer over 18 years of age from one of the participating families.

Please tick where you can volunteer as per above information

Rows	SRC	Bronze
Mon 21 Sept 9:00am - 11:00am BM only
Mon 21 Sept 1:30pm - 3:30pm BM only
Tues 22 Sept 9:00am - 11:00am SRC and BM
Tues 22 Sept 1:30pm - 3:30pm SRC and BM
Wed 23 Sept 9:00am - 11:00am SRC and BM
Wed 23 Sept 1:30pm - 3:30pm SRC and BM
Thurs 24 Sept 9:00am - 11:00am SRC and BM
Thurs 24 Sept 1:30pm - 3:30pm SRC and BM
Fri 25 Sept 9:00am - 11:00am SRC and BM

Receipt Number of payment made in portal

LUI Number (bronze candidates only) You can get your LUI number from your school admin office. If you do not know it at this point, please proceed without it, but you will need this when you enrol into the formal course.