2023_2024 MHVLS Surf Lifeguard Award (Bronze)
Anyone 14 years + who intends to become an Active Patrolling Lifeguard at MHVLS is welcome to sit the SLSNZ Surf Lifeguard examination (also referred to as the Bronze Medallion).
An Active Lifeguard is a qualified lifeguard who actively patrols and is involved in Surf Lifesaving through their club.

New members:
If this is the very first time you have joined any NZ Surf Club you will also need to register with SLSNZ first by clicking on this link - https://memberportal.surflifesaving.org.nz/new-membership/

It is important this is done before continuing any further.

Transfer from another club:
If you are a member at another club and transferring to Mangawhai you will also need to request a transfer with SLSNZ by logging into the Member Portal - https://memberportal.surflifesaving.org.nz/new-membership/

It is important this is done before continuing any further.

To apply for MHVLS membership please complete the information below.

Please deposit the $75.00 fee for manual & workbook into 12-3008-0049507-00 with your name and "Bronze" as the reference.

For more information please visit:
https://www.surflifesaving.org.nz/lifesaving/lifeguard-education/surf-lifeguard-award
https://www.surflifesaving.org.nz/join-us/become-a-surf-lifeguard

Uniform sizes tend to be on the smaller side. Please consider this when ordering.

For all Lifeguard Award and training enquiries please contact Mary Farmer: instructor@mangawhaisurfclub.org.nz 

登录 Google 即可保存进度。了解详情
电子邮件地址 *
Please select which membership applies to you *
First Name of person sitting the SLA Exam *
Last Name of person sitting SLA Exam *
Gender *
Date of Birth *
年
/
月
/
日
Current Age *
Address *
Contact Number *
Medical - If you have any medical concerns please explain
Lifeguard Shirt (Unisex) *
Womens Lifeguard Shorts
Mens Lifeguard Shorts
Hat - Wide brim
Emergency Contact Name                                     *
Emergency Contact - Mobile number *
What is your current 400m (pool) swim time? *
Can you attend at least 8 out of the 10 training sessions scheduled?
I understand that once I am a qualified lifeguard, I am expected to patrol for the rest of the season, as part of a regular patrol.
I understand that once I am a qualified lifeguard, I am expected to participate in at least one additional lifeguarding activity each season (e.g. fundraising, helping with instructing, assisting with Junior Surf, providing water safety at events)
Can you attend the two scheduled exam dates?
Payment
Please deposit $75 into ASB account # 12-3008-0049507-00 with your full name & bronze as the reference.

 Declaration
Please read the Membership Declaration by clicking on the link below
Read Here
I have read and consent to the Membership Declaration. Acknowledging this, Mangawhai Heads VLS will enter my consent onto the SLSNZ database. *
提交
清除表单内容
切勿通过 Google 表单提交密码。
此内容不是由 Google 所创建，Google 不对其作任何担保。 举报滥用行为 - 服务条款 - 隐私权政策
Google 表单