Members

Membership to our club is available all year round. If you would like to join as either an active or social member, please download and complete the attached membership form, or fill out the online form below.

 

Online Membership Form

 

 

Fields marked with an * are required

General Details


 

 

Membership Details

 

 

Medical Details

 

If you suffer or you have suffered from any disease or any physical or mental disability (eg, epilepsy, diabetes or any permanent disability to a limb, eye or ear) likely to affect your efficiency as a Club member, it may affect your safety and the safety of the public. You should consult your medical practitioner and SLSA prior to commencing any surf lifesaving activity. You should take part in a Hepatitis B vaccination program.

 

Emergency Contact

 

 

Background

 

 

Declaration

I have read, understood, acknowledge and agree to the declaration and application and conditions of membership over leaf. I have signed that declaration and application. I warrant that all information provided is true and correct.

 

 

Parent/Legal Guardian Consent

(IN RESPECT TO AN APPLICANT UNDER THE AGE OF 18 YEARS)
I have read, understood, acknowledge and agree to the declaration and application and conditions of membership overleaf and I personally consent to the declaration and application for Membership of the applicant.

 

Membership Declaration – please read before submitting membership form

Membership Declaration

Membership Fee’s

Social/Associate Member (non-active) $50
Senior active members (all senior members over the age of 18)* $30
Junior* $25
Life Member $00
Honorary Member $00

*Any new src/bronze will have to pay a $50 additional cost

**General Members in surf guard are defined as members who are active within club activities however are not patrolling

 

To make payment please pay directly to :

Account Name: Kempsey Crescent Head SLSC Inc

BSB: 704-189

Account Number: 00005251

Please reference : Membership, Initial and Surname (ie Membership J.Smith)

© Kempsey Crescent Head SLSC 2016