Member Form

To become a member, please complete the application form below:

Please note, if you would rather complete a physical form, a membership form can be downloaded from the Downloads page.

* Indicates required field

Annual Fee *

Adult Membership (15+) $50 Family Membership (1-2 adults + unlimited juniors) $100 Junior Membership (under 15) $25 Senior/Concession Membership $25

I/We wish to become member(s) of Golden Paradise Beach Surf Life Saving Club Inc. and agree to be bound by all the rules of the club.
All members 18 years and older are required to hold a Working with Children Check (or evidence of application to be provided within one month of application). Please refer to the WWCC information page for details.

Primary Member Details *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Date of Birth *

Email *

Mobile Number *

Occupation *

Working With Children Check Number *

Family Member Details 2 *

First

Last

Date of Birth *

Email *

mobile Number *

Working with Children Check number *

Family Member Details 3 *

First

Last

Date of birth *

Email *

Mobile Number *

Working with children check number *

Family Member details 4 *

First

Last

date of birth *

Email *

mobile Number *

working with children check number *

family member details 5 *

First

Last

date of birth *

Email *

mobile Number *

working with children check number *

Medical Details
If you or one of your ramily members suffer or you has suffered from any disease or any physical or mental disability (e.g. 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, please consult your medical practitioner and GPBSLSC prior to commencing any surf lifesaving activity.
Please provide a treatment plan to the GBSLSC Secretary and Age Manager will be notified if a Nipper participant.

There are many ways in which you can become involved in club activities. Please indicate below which areas are of interest to you or you may be able to assist. *

If you answered other above: *

How did you find out about Golden Paradise Beach Surf Life Saving Club? *

Please ensure all details on the form have been completed. This information will enable GPBSLSC to complete your registration and is vital to ensure you are covered by insurance while on the premises and/or during training sessions.

I/We understand:

This membership nomination will be lodged with and approved by the GPBSLSC Committee and a three (3) month probation period will apply.
Copies of Responsible Alcohol Policy, Club Constitution & Rules and Members Protection Policy can be supplied by the Club Secretary, on request.
Consent to the use of photographs that may be taken of me/us at GPBSLSC events/activities, for use in advertisements and club promotional material including social media.

As the parent or guardian of an applicant under the age of 16 years, I expressly agree:
To be responsible for the applicant's behavior and agree to accept the conditions set out in this membership application and declaration including the provision by me of a release and indemnity in the terms set out above.

Clicking the Submit button below will take you our payments page. By clicking submit below I/we agree to the above.

Submit