Beach Safety Program Booking Form

PLEASE NOTE: Submitting this form does not confirm your booking. We will email you a confirmation once we have secured a beach safety presenter for you.

We kindly ask for bookings to be made at least two weeks in advance. For urgent requests within the next week or for booking multiple sessions, please call us at 0459 712 193 or contact us at community@surflifesaving.com.au.

If you have any questions or concerns, please email us at the address above.

For more information on beach safety, please visit our website.

Your Information

Organisation, Centre, or Group Name

Organisation Type

Main Contact Full Name

Main Contact Title/Role

Main Contact Email

Main Contact Phone Number

Program Information

Which program would you like delivered?

Preferred Date & Time(s) for the Session

Please provide three preferred dates and times for your session.

1st Preferred Date

dd/mm/yyyy

1st Preferred Time

2nd Preferred Date

dd/mm/yyyy

2nd Preferred time

3rd Preferred Date

dd/mm/yyyy

3rd Preferred Time

Audience Details

Age range of the audience

Number of participants attending

Your Location & Facility

Session Location Address

Post Code

What audio-visual equipment will be available?

Projector/Screen/Smart TV

Laptop/computer

Sound/Audio

None

Additional Information

Number of participants (if any) who were born overseas (including new migrants, refugees, student parents/family members)

Number of participants who have low English Language Proficiency (ELP) and their primary language(s)

Do you have any additional requests or questions for us?

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