Parental Consent: Where the applicant is under 18 years of age this form must also be signed by the applicant’s parent or legal guardian.

I, as the parent or guardian of the Applicant, authorise and consent to the Applicant undertaking the Life Saving Activities. In consideration of the Applicant’s membership being accepted I expressly agree to be responsible for the Applicant’s behaviour and agree to personally accept in my capacity as parent or guardian the terms set out in this membership application and declaration including the provision of a release and indemnity in the terms set out above. In addition I agree to be bound by and to comply with the constitution(s) and any regulations and policies made under it.

Name and best contact.