Mermaid Marvels Registration

Mermaid Marvels Inclusive Surf Lifesaving Programme Get to Know You Form

(Confidential – This information helps us create a safe, supportive and inclusive beach experience for your child.)
About Mermaid Marvels
Mermaid Beach AEME SLSC proudly runs Mermaid Marvels, an inclusive nipper
programme designed to support children and young people with physical, intellectual and cognitive disabilities.

Mermaid Marvels provides a welcoming, supportive and structured beach environment where participants can learn essential surf safety skills, build water confidence and develop independence at their own pace.

The programme runs for 4 Sunday starting 22 February and concludes Sunday 15 March and will run for 1 hours from 8am till 9am and is designed to complement the broader nipper pathway while ensuring adaptations and supports are in place for everychild to succeed.

Age requirment is 7 yrs and above.

This is free program
Childs Name*

First NameLast Name
Childs DOB*

MonthDayYear
Parents/Guardian Name*

First NameLast Name
Phone Number*
Format: 0000 000 000.
E-mail*
22 February1 March8 March15 March
What does your child enjoy?(Interests, favourite activities, strengths, passions)
What are your child’s strengths?(Physical skills, water confidence, social strengths, determination, communication, etc.)
What challenges or support needs should we be aware of?(Sensory sensitivities, anxiety, communication differences, mobility, attention,transitions, etc.)
Verbal communicationVisual supportsGestures/signAAC deviceOther
What helps when your child feels overwhelmed or anxious?(Words, strategies, tools, movement breaks, quiet space, etc.)
Are there known triggers we should be aware of?(Loud whistles, large groups, waiting, sand texture, unpredictability, etc.)
Confident swimmerBasic skillsWater familiarisationNon-swimmerOther
Medical considerations or diagnoses we should know about:(Asthma, epilepsy, allergies, physical conditions, etc.)
Are there behaviours that may impact safety in an open beach environment?(e.g., wandering, running toward water, difficulty following instructions)
I give permission for my child to participate in inclusive surf lifesaving activities.I consent to first aid being administered if required.I consent to photographs being taken for club use (optional).
Signature*

Clear
Date*

MonthDayYear
Date
Thank you for partnering with us. Together, we can build confident, capable and connected young lifesavers in a safe and inclusive beach environment.
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Mermaid Marvels Inclusive Surf Lifesaving Programme Get to Know You Form

Thank you for partnering with us. Together, we can build confident, capable and connected young lifesavers in a safe and inclusive beach environment.