*Bronze and SRC Registration *

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*** must be 13 years +

*** must be able to swim (can try as many times as you need)

- SRC =200 m in 5 minutes or less

- BM= 400m in 9 minutes

DATES/TIMES

Swim Proficiency @ Clarence Pool

Thursday 21st Sept --> 5-6pm

Saturday 23rd Sept --> 9 - 10 am

Weekend sessions

@ Clifton beach --> 9.30-3.30pm

Saturday 21st Oct

Saturday 4th Nov

Saturday 11th Nov

Evening Sessions @ Clifton Beach

5.30pm-8.30pm

Tuesday 17th Oct

Tuesday 24th Oct

Tuesday 31st Oct

Email *

Which award? *

Surf Rescue Certificate - SRC

Bronze Medallion -BM

Already have SRC --> want to now obtain Bronze

Name *

Phone number *

Are you a current financial member of Clifton Beach SLSC?

Yes I am a current member of Clifton Beach SLSC

I am a current member of Kingston Beach SLSC or Carlton Park SLSC

None of the above, I am new member

Other:

Clear selection

Which swim assessment will you be attending (at Clarence pool) see above details *

Thu 21st Sept

Sat 23rd Sept

Do you have current access to your individual SLS Members area Account?

Yes

Maybe

Will need help finding my account/setting up

Clear selection

Is there any learning adjustments/support required? if so how can we best assist you in your learning?

Do you have a pink hi vis vest?

yes

Clear selection

Patrol uniform sizes - Shirt

XXL

Other:

Clear selection

Patrol uniform sizes - shorts

XXL

Clear selection

Anything else you wish to add? *

Send me a copy of my responses.

Submit

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