Membership Form

Fields marked with an * are required

Membership Options

NEW MEMBERS Go to to complete membership forms and enter details of all new members.

All other members please complete this renewal form

Personal Details – Family or Individual to complete

Junior Surf Only

Please tick group(s) below according to age(s) as at 1 October 2015

Member Details

Emergency Contact Details

(other than those listed on previous page):

Additional Information

I am able to help out with the following activities

Omanu Beach Surf Lifesaving Club Declaration - Season 2015/2016

  • I give permission for my/our name/s and all my/our personal details to be entered into the database/spreadsheet records of Omanu Beach SLSC.
  • I understand that my/our names/s and details may be released to Eastern Region Surf Life Saving, Surf Life Saving New Zealand and Omanu Partners for the purpose of statistics, mail out etc.
  • I will be bound by Omanu Beach SLSC constitution and any regulations, policies and rules made under it.
  • I agree that photos of Club members taken during the course of Club activites may be displayed in Club publications including on the website.