• Camp Commando 2027 Application

    Leaders & Mentors 10th - 13th January | Participants 11th - 13th January @ QCCC MAPLETON

  • PLEASE ENSURE YOU HAVE READ THE CIRCULAR PRIOR TO COMPLETING THIS APPLICATION FORM! 

    CIRCULAR - Camp Commando 2027

    Before commencing your application please ensure you have the following available

    1. - Medicare Number
    2. - Private health insurance details
    3. - If Applicable Blue Card details
    4. - Any relevant medical plans / documentation


    Applications will close Monday the 16th of November at 12:00pm. For all important dates relating to this program please see the circular linked above.

    PLEASE NOTE: By filling out the below application DOES NOT secure your spot on this camp. 

     

    Please ensure you have spoken to your club in relation to your application as some clubs have criteria in place to support members in attending the Branch and/or State programs :)

     

    If you have any queries regarding the application form or the program, please do not hesitate to contact the Sunshine Coast Deputy Director of Youth (Camp Commando) Charli - youth@slsqsunshinecoast.com.au OR Sunshine Coast Membership & Sport Coordinator, Jess Roberts on jroberts@lifesaving.com.au.

    Please save the number 0448 674 224 (Jess - SLSQ Staff) 

  • Applicant Information

    Tell us about you!
  • I am applying to be:*
  • I am available on the 19th of December for Leaders Day at the Sunny Coast Office!*
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  • Format: (000) 000-0000.

  • Please Note: ALL Camp information will be sent to the above email address

  • Blue Card Expiry
     - -
    2 digit day, 2 digit month, 4 digit year

  • We encourage participants to carpool where possible or better still talk to your club and come as a big group in your club bus if you have one. This will speed up the arrival process and help with limited parking at the venue. 

  • How do you intend on getting to the program?*

  • Emergency Contact Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Emergency Details

  • Do you suffer from any of the below:*
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  • Do you have any dietary requirements?*
  • Please tick from the below options:
  • Are you insured against accidents for activities other than the Surf Lifesaving Insurance Policy?*

  • Lifesaving Background

  • Please Indicate any and all awards currently held by the Participant*
  • If over the age of 18 please indicate completion of both CYRMS & CSA. Please note that this are MANDATORY.

  • Declaration

  • APPLICANT DECLARATION: I hereby declare that the information contained in this application is true and correct to the best of my abililty. I acknowledge that by submitting my application to this program that i will abide by any requirements of Surf Life Saving Sunshine Coast and by extension Surf Life Saving Queensland, including all policies, codes of conduct etc.*
  • Date
     - -
    2 digit day, 2 digit month, 4 digit year
  • MEDIA DECLARATION: I consent to Surf Life Saving Sunshine Coast and Surf Life Saving Queensland (SLSQ) using my name, image, and/or quote for any SLSQ internal and/or non-commercial external promotion, education, or research purposes, and that all proprietary rights including intellectual property rights of any image, photograph or likeness of me will be owned by SLSQ. I agree that my name, image and/or quotes may be used in any medium including, but not limited to provision of footage to the media and on Branch and/or SLSQ Social Media sites. I acknowledge that this permission does not extend to the inclusion of my name, image and/or quote in advertising or via paid endorsement without separate approval for this specific purpose.*
  • Date
     - -
    2 digit day, 2 digit month, 4 digit year
  • MEDICAL DECLARATION: I hereby authorise the obtaining on my behalf of such medical assistance as I may require in the event of accident or illness. I authorise the administering of such medical treatment including the use of anaesthetic, as may be deemed necessary by the Medical Officer attending. I agree to pay the cost of any such medical assistance and any associated costs and expenses and to reimburse Surf Life Saving Queensland Inc. for any such costs and or expenses incurred.*
  • Date
     - -
    2 digit day, 2 digit month, 4 digit year
  • Should be Empty: