2020 P2P Water Safety Application Form

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Dear all,

Thank you all very much for putting your hand up to assist Portsea SLSC with the 2020 Pier to Perignon. Your time and commitment is greatly appreciated and valued.

If you could please take a moment to register for water safety using the below form, it would be greatly appreciated.

Date: Sunday, February 16th, 2020

Arrive: 7:30am

Main race: 12:05pm

Race end: 1:00pm approx.

Pack up finish: 4:00pm approx. (back at club house)

More details will be emailed in the days preceding the event.
Please put the date in your diary/reminders.

See you there.

Email *

Name: *

Which Awards do you hold? *

SRC

Bronze

IRB Crew

IRB Driver

RWC

Other:

Required

What is your first preference? *

Rescue board Operator

IRB crew

IRB driver

First Aid

Other:

What is your 2nd preference? *

Rescue board Operator

IRB crew

IRB driver

First Aid

Other:

Emergency Contact name? *

Emergency Contact phone number? *

Any other relevant information?

Submit

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