PLSLSC 2025 JSRC Course Application Form

PLSLSC 2025 JSRC Course Application
ALL APPLICATIONS THAT ARE SUBMITTED AFTER THE CLOSING DATE WILL BE WAITLISTED.

Parents/Guardians: Please complete Section A.

Applicants: Please complete Sections B & C.

Please ensure that you renew your membership online. You will not be accepted to participate in the course without being an active financial club member.

Please note that once you start this application you cannot save or leave it for later. Please leave 30 minutes to complete this application.

Section A: Applicant Information & Parent Contact Information

Parent/Guardian to complete.
Applicant's Name*

First NameLast Name
Applicant's Date of Birth*

DayMonthYear
Date
Applicant's Gender*
Applicant's Shirt Size (Adult Unisex Sizing)*
Women's Sizing Conversion Chart:

8 = XS, 10 = S, 12 = M, 14 = L, 16 = XL
Applicant's Shorts Size*
Men's Sizing Conversion Chart:

28 = XS, 30 = S, 32 = M, 34 = L, 36 = XL

Women's Sizing Conversion Chart:

8 = XS, 10 = S, 12 = M, 14 = L, 16 = XL
Parent/Guardian's Name*

First NameLast Name
Parent/Guardian's Email Address*
Please enter an email address you will monitor outside of work.
Parent/Guardian's Mobile Number*
Please enter a valid phone number beginning with 0.
What is your accomodation situation in Point Lonsdale throughout the patrol season?*
I have read the 2025 JBM and JSRC Course Information Pack.*
Patrol Requirements

Upon completion of the course, holders of the SRC award are active members of our club, and are required to patrol the Point Lonsdale Back Beach as part of the patrol season. The patrol season runs from November - April and patrol times can vary from 3 to 8 hours. As an active member, you will be required to attend your SELECTED patrols at Point Lonsdale Back Beach (including patrols outside of peak season) and patrol (or otherwise volunteer) at the Rip View Swim Classic.

For all Active Members (patrolling members paying a reduced membership fee), including SRC Candidates, failure to meet the minimum patrol requirements (minimum 20 hours of selected patrols) will result in the member being charged the General Member fee.

Additionally, for JSRC Candidates, failure to meet the minimum patrol requirements will be considered alongside their application for the Junior Bronze Medallion course.
Do you understand the requirement for the applicant to patrol at Point Lonsdale for the entire season?*

Yes, I understand the applicant's patrolling requirements.No, I do not understand these requirements and will contact the Training and Assessment Team for clarification.No, I do not agree to the patrol requirements.
Can the applicant commit to patrolling at Point Lonsdale for at least two seasons?*
Parent/Guardian Application & Enrolment Process Agreement*

I acknowledge that all application and enrolment deadlines are final. If I fail to fully complete the required forms, Member Training enrolment process, or membership and course payment processes (subject to financial assistance policies) on time, the Training and Assessment Team may offer the applicant's place to a waitlisted applicant.I understand that I must contact the Training and Assessment Team to request an extension before the associated deadline if I encounter any issues with the application or enrolment process.I will monitor the phone number and email address (including my junk folder) I provided for JBM/JSRC application and enrolment information and any changes to course timing. I understand the Training and Assessment Team will not individually call me to chase up incomplete steps with me.

Section B: Applicant Short Answer Responses

Applicant to complete.
Did you complete Nippers at Point Lonsdale SLSC?*
How many seasons of Nippers have you completed?*
Have you participated in Aquatic Sports for surf lifesaving?*

Competed at Cosy CornerCompeted at State/Regional Carnival(s)Competed at State ChampionshipsI have not participated in Aquatic Sports for Surf Lifesaving
I have read the 2025 JBM and JSRC Course Information Pack.*
Patrol Requirements

Upon completion of the course, holders of the SRC award are active members of our club, and are required to patrol the Point Lonsdale Back Beach as part of the patrol season. The patrol season runs from November - April and patrol times can vary from 3 to 8 hours. As an active member, you will be required to attend your SELECTED patrols at Point Lonsdale Back Beach (including patrols outside of peak season) and patrol (or otherwise volunteer) at the Rip View Swim Classic.

For all Active Members (patrolling members paying a reduced membership fee), including SRC Candidates, failure to meet the minimum patrol requirements (minimum 20 hours of selected patrols) will result in the member being charged the General Member fee.

Additionally, for JSRC Candidates, failure to meet the minimum patrol requirements will be considered alongside their application for the Junior Bronze Medallion course.
Do you understand the requirement for you to patrol at Point Lonsdale for the entire season?*

Yes, I understand my patrolling requirements.No, I do not understand these requirements and will contact the Training and Assessment Team for clarification.No, I do not agree to the patrol requirements.

Section C: Applicant Extended Responses

Applicant to complete.
Please detail any current and past family involvement in the Club, if any.*
Please specify the year and your relation to the member. Be sure to include their involvement in Nippers, aquatic sports, patrols, instructing, committee, life membership and other volunteering with the Club, etc.
Please explain why your want to undertake the course and become a surf lifesaver.*
Please detail the activities you do outside of surf lifesaving that make you a suitable candidate for the course and future participation in lifesaving.*
What qualities or attributes do you have that would make you an asset to the Point Lonsdale SLSC?*
What makes a good patrol team member? (Answer in 25 words or less)*

0/25
What areas of the Club do you see yourself participating in?*
For example, core patrol leadership, Nippers water safety, etc.
Are there any skills you would be interested in learning at the SRC Development Days?*
For example, rescue techniques, body surfing, swimming through the break, leadership, public speaking, radio communications, conflict resolution, etc. Do not say 'all of the above'.
Is there anything else you would like to add for us to consider in your application?
Should be Empty:

PLSLSC 2025 JSRC Course Application

Section A: Applicant Information & Parent Contact Information

Section B: Applicant Short Answer Responses

Section C: Applicant Extended Responses