Warrnambool Surf Life Saving Club 2019-2020 Season

This form collects which family members will be joining WSLSC this coming season, their specific membership and any additional services you need to pay for (board hire, nipper program, gym access etc).

We will forward an invoice for payment online, direct deposit or when attending the club, we will also update your details on the Surf Life Saving Australia database.

To view our incentives offered to patrolling Members: Incentive Details Here (new tab)

If this registration will include a Nipper, please enter the primary parent or carer here and choose at least 2 people to register

Primary Member Details (Adult or Cadet only)

Additional Family Members will be added on the next page. In the case of a Nipper membership, we require one adult to fill in their details here as the primary member first. Choose the number of people above to include this adult, details of the Nipper will be on the next page.

If you don't have a mobile number please enter the number of your emergency contact person
There is no Nipper Membership on this list as we require all Nipper members to be accompanied by (at least) one adult member. If you don't hold any awards, you're an Associate member.

If you are a student undertaking your Bronze Medallion with the club, please select Cadet Membership and ensure we have contact details for your parent.

If choosing Active Reserve or Long Serving memberships you will require application to the Board of Management forward requests to Club Secretary

Medical Conditions

If you suffer or you have suffered from any disease or any physical or mental disability (eg, epilepsy, diabetes or any permanent disability to a limb, eye or ear)
likely to affect your efficiency as a Club member, it may affect your safety and the safety of the public. You should consult your medical practitioner and SLSA
prior to commencing any surf lifesaving activity. You should take part in a Hepatitis B vaccination program.

Does this registration include a member under the age of 18?