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IRB Course Registration
This form is a confirmation of sign up to the following course
- IRB Crew and Driver awards
Please see Facebook or Clifton beach website for dates and further details
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* Indicates required question
Email
*
Your email
IRB DATES
Name
*
Your answer
Phone number
*
Your answer
Which awards are you interested in completing?
*
IRB Driver
IRB Crew
Other:
Required
Which group do you fall under?
*
Group A- completed past training and almost assessment ready
Group B- Completed some training but not yet ready for assessment
Group C- New to IRB crew and Driver
Do you have the following awards?
*
Bronze medallion- prerequisite for crew and driver
Boat license - prerequisite for driver
Other:
Are you a current financial member of Clifton Beach SLSC?
Yes I am a current member of Clifton Beach SLSC
None of the above, I am new member
Other:
Clear selection
Are there any learning adjustments/support required? If so how can we best assist you in your learning?
Your answer
Any injuries, mobility or health issues that may be impacted by IRB training?
*
Your answer
Any dates that you will NOT be able to attend?
*
Your answer
A copy of your responses will be emailed to the address you provided.
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