Your Details

All program dates are open to children of 8 - 17 years old.

I, the parent named below wish to register my child to attend the NextGen Lifesavers Program:

NextGen Lifesavers Program Booking

Your title: Please SelectMrMrsMissMsDrOther

Your name:

Your email:

Telephone Number:

Address:

Suburb:

State:
QLDNSWACTTASSAVICWAOverseasOther

PostCode:

The Program

Please select a location:

Settlement Cove LagoonNeptune Royal Life Saving ClubIthaca-Caloundra City Life Saving ClubOther

Child Enrolments

How many Children are you registering for the program?:
Please select: —Please choose an option—12345

Child 1 details

Name:
Date Of Birth:

Please confirm that the above-mentioned childs swim skills are either
BeginnerIntermediateAdvanced

Any Medical conditions that we must be aware of?

If your child has none, please type in "NA"

How did you hear about NextGEN Lifesavers: Please SelectFacebookInstagramEmailPCYC/YMCAScouts/GuidesAquatic CentreOnlinePreviously AttendedOther

Code of Conduct expected from parents/guardians:

- Adequately prepare your child, for each session (including food, water, sun protection, etc),
- Encourage children to participate in all activities and play by the rules,
- Never ridicule, laugh or yell at a child,
- Applaud all participants (not just your child), good performance and effort (not just winners),
- Advise the Officials if you are not happy with safe practices at the time an incident occurs (not after) so that it can be rectified,
- Respect all decisions of Official, Coaches and Administrators,
- Condemn the use of violence, verbal abuse or vilification,
- Support all policies and practices,
- Encourage children to challenge themselves, and
- Follow correct processes if you have an issue or complaint.

Terms and Conditions

1. Warning
Life Saving Activities can be inherently dangerous. I/we acknowledge that I/we are exposed to certain risks during Life Saving Activities including but not limited to physical exertion, contact with life-saving equipment, body contact and surf, sea & weather conditions. I/we acknowledge that accidents can and often do happen, resulting in me being injured or even killed, or my property being damaged. I/we have voluntarily read and understood this warning and accept and assume the inherent risks in participating in Life Saving Activities. I/we acknowledge that the RLSS and QLL hold no specific insurance (medical, liability or otherwise) for the Life-Saving Activities that I/we and/or my/our Child/Children may undertake.

2. Release & Indemnity:
In consideration of the Club accepting my/our application for membership I/we:
a. Release and will release the Life Saving Organisations from all Claims that I/we may have or may have had but for this release arising from or in connection with my/our membership and/or participation in any Life Saving Activities; and
b. Indemnify and will keep indemnified the Life Saving Organisations to the extent permitted by law in respect of any Claim by any person arising as a result of or in connection with my/our membership and/or participation in any Life Saving activities.

3. Fitness to Participate:
I declare that I/we am/are medically and physically fit and able to participate in any Life Saving Activities. I/we am/are not and must not be a danger to myself or to the health and safety of others. I/we will immediately notify the Club in writing of any change to my/our medical condition, fitness and ability to participate, and will immediately cease Life Saving Activities until cleared by a medical practitioner and acknowledged by the QLL/RLSS.

4. Use of image:
I/we consent to the relevant Life Saving Organisation of which I/we am/are a member, using my/our name, image, likeness and also my/our performance in or of any Life Saving Activity at any time to promote the Objects of the relevant Life Saving Organisation(s), by any form of media. I /we waive any rights I/we might have to or in such use of my/our name, image or likeness by the relevant Life Saving Organisation(s).

Please read the full Terms and conditions attached at the bottom of the page

I have read and agree with the above-mentioned Code of Conduct and Terms and Conditions.

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