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Details

2025/26 Probationary Member Application

Mon 21 Jul 2025 09:00 — Sun 28 Sep 2025 23:55

Palm Beach Surf Lifesaving Club, 31 Ocean Road Palm Beach NSW 2108

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Candidate Details

Profile Photo*

Choose file...

Max 5MB

Date of Birth*

Age*

Proposer*

Seconder*

Licence Plate Number (for council parking permit)*

RSA Number (if held)

If an RSA is held, please attach the certificate:

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Max 5MB

Emergency Contact Details

Title*

First name*

Surname*

Relationship (to candidate)*

Mobile Number*

Email Address*

Address*

Surf Life Saving Details

Old/Archived/Current SLS Club (if applicable)

I would like to transfer (if applicable)...

Do you already hold any SLSC awards?

SLSA Bronze Medallion

First Aid

Advanced Resuscitation

IRB Crew

If any SLSC awards are held, please attach the certificate:

Choose file...

Max 5MB

Motivation/reason for joining PBSLSC* Max 255 characters

Relevant skills, interests, past experiences, achievements, etc.* Max 255 characters

Patrol Shirt Size (Female: 4-16, Male: XS-4XL)*

Patrol Short Size (Female: 8-16, Male: 28-40)*

Rashie Size (Unisex: XS-2XL, designed to be fitted)*

Patrol Buddy Preference (an existing Active Member or Fresher)

Document Upload

Nomination Form ***the SLSA Membership Application & Declaration on page 2 MUST also be completed ****

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Max 5MB

Parental Consent Form (if under 18 years old)

Choose file...

Max 5MB

Select tickets

2025/26 Probationary Member

$281.00 ea

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*