JUNIOR SURF REGISTRATION FORM 2023/2024
Please ensure that your child is a CURRENT member of Whiritoa Lifeguard Service and you have paid their membership fee BEFORE filling out this form. 

This form should be completed before Pool Day which is the first day of Junior Surf (Wednesday 27th December 2023). Sandcrabs also begin on the 27th but at Whiritoa Surf Club. There will be NO Junior Surf registration day as the Whiritoa Lifeguard Service membership process and Junior Surf registration process can be completed all online. 

New members can submit an application on the Surf Life Saving NZ Website here.
Renewals of WLGS memberships can email Jane Bell: whiritoasls.members@gmail.com 

Any questions about Junior Surf can be emailed to the Junior Surf Coordinator Ella White: jnrsurf.whiritoaslsc@gmail.com 

Please complete this form for each child participating in the program

Click here for the Pool Day information
Information about Uniforms (High-Viz and Beanie): Junior Surf Uniform Newsletter 2023/24
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First and Last name of the participant taking part in the programme *
Date of Birth: *
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Gender: *
SLSNZ Membership Number (You must have a membership number to enrol in Junior Surf) *
Name of Preferred Contact (Parent/Caregiver):  *
Phone Number of Preferred Contact (Parent/Caregiver): 
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Email of Preferred Contact (Parent/Caregiver): 
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Program which the child will be taking part in: *
Surf Sports
Surf Sport trainings are afternoon extra sessions during the season run by some of our amazing coaches. It is a great way for our junior members to further advance their surf skills for carnivals and competitions. It is expected that Surf Sport participants take part in at least two carnivals. It is open to anyone aged 8 and over who has their 200m badge. There is a junior and senior group however participants may be moved based on ability. Surf Sports requires an extra cost of $50 per child so please include this in your child's membership fee. Please also include the $75 bond in your child's membership fee if they are over the age of 10 and wish to use a fibreglass board during surf sport sessions. This will be refunded at the end of the season if the board remains undamaged within the bounds of the agreement (see at the bottom of this form for the new equipment policy).
Would your child wish to participate in surf sports? 

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Beach house address *
Please list any medical conditions your child has that we should be aware of 
How confident is your child around water? *
Not very confident
Very confident
Do you believe your child can meet the swimming requirements for the group they will be participating in? 

(Sandcrabs ignore this question) 
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I give permission for club photographs involving our family to be used for media purposes *
Junior Surf Safety requirements

CHILD SIGN IN/SIGN OUT

For safety reasons your child will be signed in at the beginning of the session. This will be done by the Coach in charge. If your child needs to leave early, or arrives late, please ensure that they are made aware the sign in/sign out procedure must be adhered to.


200M SAFETY BADGE 

All junior members who wish to use foam or fibreglass kneeboards and/or swim beyond waist depth must pass their 200m safety test. This is a mandatory safety requirement which demonstrates that junior members are confident in the ocean and capable of returning to shore if they are separated from their equipment. This test must be repeated yearly and must be sighted by a Whiritoa coach. Junior members must have the badge fixed to their togs or beanie and they must also wear their high visibility safety vest. The swimming requirements for each age group is displayed above (the swim can be completed using any stroke).

If the coaches are not confident that a member is a strong enough swimmer to tackle the conditions, whether it be training or at a carnival, they will stop the member taking part. This is not done lightly and is only done for the member’s safety.


5:1 RATIO SUPERVISION 

As another STRICT mandatory safety requirement, we require a minimum supervision ratio (in any water activity, regardless of depth) of 1 adult IN THE WATER per 5 children. On rough days, we will increase this number. If we cannot reach the required ratio, the water events will be cancelled. 


1:20 RATIO OF QUALIFIED SUPERVISION 

In addition to the ‘in-water’ 5:1 ratio we must also have 1 qualified lifeguard per 20 children in the water. One of the best ways to help at the beach is to become a lifeguard.


SURF TRAINING UNIFORM

For safety visibility reasons participants must wear a hi-vis vest and skull cap during training.

I have read and understood the Junior Surf Safety requirements above and will adhere to the member Code of Conduct at all times.
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JUNIOR SURF EQUIPMENT POLICY

A new policy has been put in place to prevent damage to the club's kneeboards and boogie boards. Please read the Junior Surf Equipment Policy here.

Please note: Fibreglass boards will be allocated to the Junior Surf participants who have completed the WLGS board module and at the discretion of the Junior Surf coaches and Senior Lifeguards. A bond of $75 per Surf Sport Participant over the age of 10 is required to be included in the participant's membership fees if they wish to use a Fibreglass board. This will be refunded at the end of the season if the board remains undamaged within the bounds of the agreement.

I have read and understood the Junior Surf Equipment Policy attached above and agree to the Junior Surf Equipment Loan Agreement
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I acknowledge that the information provided on this registration form is correct and I have discussed any needs or requirements with the Junior Surf Coordinator (Ella White jnrsurf.whiritoaslsc@gmail.com).
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