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POINT LONSDALE SURF LIFE SAVING CLUB
MEMBERSHIP PACKAGE 2014 / 2015
www.pointlonsdaleslsc.asn.au
MEMBERS ARE OUR KEY.
For many of our members the beginning of their association with the Club is learning
valuable surf skills on the beach at Santa Casa during Nippers.
Last Season saw nine patrol groups patrolling our back beach as well as performing
Nipper Water Safety Patrol. Our Back beach patrols also extended our coverage with a
roving patrol along the length of the beach and an outpost at the front beach during the
busier times of summer. The club also provided crucial Water Safety for many of the
regions summer activities and continues to maintain a Life Saving Emergency Response
Team (LERT). LERT provides a year round (out of normal patrol hours) emergency
search and rescue service to not only our community but also the Victorian Community.
None of this could be achieved without the continued commitment and support of our
members.
FUNDING APPEAL – SUPPORT NEW CLUBHOUSE NOW
Your support is critical: when making your membership payment, please add a donation to
“The Pointers” Endowment Fund.
This fund is gathering vital money specifically for significant new projects, such as the
NEW CLUBHOUSE. Planning is well underway and funds are now needed.
Alternatively, if you can offer in-kind support (such as building supplies or services) please
include a note with your membership renewal or contact our VP Property, via the office.
CLUB MEMBERSHIP: SEE PAGE 3 A
NIPPER PROGRAM
We offer a program for ages Under 8 to Under 13, with places strictly limited for safety and
effectiveness. Members aged 13+ are encouraged to apply for Cadets.
Current families should renew by 30 September to guarantee your Nipper place.
New families may submit Nipper applications at any time including September, but will not
be processed until October. Places are allocated if they remain available after renewals.
Please act quickly to avoid disappointment: most age groups fill very rapidly through
September and October, and we do not accept any applications after 30 November.
Preparation 1:
Parents must have a WWCC before renewing or applying. See page 4.
Preparation 2:
Preliminary Evaluation Check – normally signed by your regular swim coach/teacher.
Mon 29 Dec (11am-1pm)
Mon 29 Dec (optional for U9-U13 – starts 10am sharp. All
U10 strongly suggested to try)
Mon 29 Dec (3pm-6:30pm)
Tue 30 Dec, Wed 31 Dec, Fri 2 Jan, Sat 3 Jan,
Mon 5 Jan, Tues 6 Jan, Wed 7 Jan, Fri 9 Jan
Wed 7 Jan
Fri 2 Jan (all Nippers welcome to attend) (no U10 program at
Santa Casa)
Sun 4 Jan (all Nippers from 9am)
Sat 10 Jan (9am)
Sat 10 Jan (6pm)
1
Nipper Gear Collection at Clubhouse
S-Badge Testing at Santa Casa
Nipper Instructor Training at Clubhouse –
Compulsory for all Instructors
Nippers at Santa Casa, 9:30-11:30am
(see calendar for details)
Nipper Disco at Clubhouse
Cosy Corner Carnival in Torquay. All U10
to attend. Other age groups most
welcome.
Doorknock starts from Clubhouse
Championships at Santa Casa
Presentation Night at Clubhouse
STARFISH NIPPERS
Starfish Nippers caters for children and young adults aged 7-18 with Special Needs.
Activities include the traditional beach games and activities, beach running, beach flags,
swimming, board skills, water familiarization, beach, water and surf safety. Sessions will
be conducted the same days as the general Nipper program (see front page for program
dates). Each session will commence at 9:30am and finish at 11:00am (half an hour
shorter than the general Nipper program). More Information about the program and how
to enrol can be found on our website at www.pointlonsdaleslsc.asn.au/nippers/starfishnippers/
BRONZE PROGRAM 2014-15
Planning for our Bronze program is underway. See the summary below.
Bronze Dates: Sunday 14 December – Saturday 20 December 2014 inclusive
Please see the “Information for Applicants” section below, plus this Bronze summary.
• Most days will operate 7am-5pm with a mix of training, skills and theory.
• Before starting, you must complete a 400m pool swim within 9 minutes.
• On the final day, you must be 15 years or older for assessment. No exceptions.
• You must commit to patrol the beach as a rostered member of your patrol.
SRC (CADETS) PROGRAM 2014-15
Planning for our Surf Rescue Certificate (SRC) program is also underway.
Cadet Dates: Monday 12 January – Friday 16 January 2015 inclusive
Please see the “Information for Applicants” section below, plus this SRC summary.
• Most days will operate 10am-3pm with a mix of training, skills and theory.
• Before starting, you must complete a 200m pool swim within 5 minutes.
• On the final day, you must be 13 years or older for assessment. No exceptions.
• You must commit to patrol the beach as a rostered member of your patrol.
INFORMATION FOR APPLICANTS – BRONZE AND SRC
There is a two part process for enrolling in these programs.
• Part 1 - Expressions of interest are now open for these programs.
• Go online to www.pointlonsdaleslsc.asn.au/education/further-training/ and register
your interest (EOI) for either Bronze or SRC (Cadets)
• There are limited places available. An EOI does not guarantee a place.
• EOI’s will close on 31 October. No late applications, no exceptions.
• After closing, all EOI’s are reviewed by a selection panel.
• Part 2 - If approved by the panel (in mid November) you are invited to enrol in the
program.
• Enrolment is separate and additional to club membership: extra forms and fees.
• If not already a renewing 2014-15 member, you must become a member to enrol.
• There is no accommodation at the clubhouse: these are not “live-in” programs.
INSTRUCTORS FOR NIPPERS / CADETS / BRONZE
If interested in any instructor role this season, please return the appropriate form with your
membership renewal by 31 October. You will be contacted during November for follow up.
• Nipper Instructors must be aged 14+ years, and hold SRC or Bronze.
• Cadet Instructors must hold the SRC award, at minimum. Bronze is also welcome.
• Bronze Instructors must hold Bronze award and do patrols. Further awards helpful.
• All instructors born prior to 30 September 1997 MUST hold a valid WWCC that lists
our
club
for
more
information
please
see
our
website
here
www.pointlonsdaleslsc.asn.au/the-club/working-with-children-check/
ALL INSTRUCTORS must be 2014-15 members, and must requalify their awards in 2014.
2
INSTRUCTIONS – STEP 1 : FORMS FOR POINT LONSDALE SLSC
A
Please read ALL options, because you probably need to return several forms.
If you need any forms which were not supplied with your membership package, you can
print them from the Membership area of the club website – or contact the club for help.
Your forms will vary according to your family’s circumstances:
If your family has any Nippers: for each Nipper, we need a completed PINK form B
titled “Nipper ‘Preliminary Evaluation’ Check, Photo Declaration & Volunteer WWCC”.
Each Nipper MUST have a Fluoro Rash Vest. Use “Clothing Order Form” G if you
require any vests. These vests are the same as last year’s.
If your Nippers want to join the Stingers Competition Squad: use a GREEN form
titled “Stingers Competition Squad Enrolment Form”.
If you are a Patrolling Member: please complete and return a BLUE form D
titled “Patrol Member Confirmation”.
If interested in Instructing Nippers, Cadets or Bronze: fill a PURPLE form E
titled “Instructor Expression of Interest”.
To apply for Reserve Active or Long Service membership: DARK BLUE form F
titled “Reserve Active / Long Service Application”.
To order Club Clothing: use the SAND coloured “Clothing Order Form” G
INSTRUCTIONS – STEP 2 : THE SLSA MEMBERSHIP FORM
This is a detailed WHITE form, with title “APPLICATION FOR MEMBERSHIP”.
We need one SLSA form for each member – so a family of two Nippers and two
Associate parents would provide four altogether. Blank SLSA forms can be printed
from the club website – needed if a younger sibling applies for Nippers, for example.
Carefully CHECK ALL YOUR DETAILS on the form – especially contact information
like address, email, phone numbers and emergency contacts. Mark updates in pen.
Read carefully and sign both sides including parent/guardian consent if appropriate.
INSTRUCTIONS – STEP 3 : HOW TO PAY
For this step, all families return the YELLOW form titled “Payment” H
► OPTION 1 Supply your Credit Card details on the Payment form, and post with
(PREFERRED) your forms from Step 1 and Step 2 (above) to the address shown below.
OPTION 2 Post a Cheque with your forms, to the address shown below.
OPTION 3 Bring your forms to the clubhouse during our office hours, to pay by
Credit Card or with a Cheque, or using exact Cash.
INSTRUCTIONS – STEP 4 : POST YOUR FORMS
Use this address. Please do not fax your forms, as they can become difficult to read.
Point Lonsdale SLSC
PO Box 120
POINT LONSDALE 3225
CLUB CONTACT INFORMATION
Web
www.pointlonsdaleslsc.asn.au
Email office@pointlonsdaleslsc.asn.au
Phone 03 5258 1257
The office is open 9am-1pm each
Monday, Wednesday and Saturday.
We extend to other weekdays in summer.
3
PATROL ROSTER
If you hold SRC or Bronze and are enrolled in an active membership category, you are
eligible for inclusion on the summer’s patrol roster. Be sure to return your Patrol Member
Confirmation form by 31 October with your membership renewal, so we can update our
roster to reflect your availability. We publish a confirmed roster in November.
All Patrol members aged 17+ MUST hold a valid WWCC check that lists our club
RESERVE ACTIVE / LONG SERVICE APPLICATIONS
The club’s Executive Committee may grant reduced patrol duties for Reserve Active
members, or zero rostered patrol duties for Long Service members.
Applications must be made annually using the appropriate form – this is provided to past
applicants, or can be downloaded from the club website. All applications must arrive at the
club (with membership renewal and payment) by 30 September.
WWCC – WORKING WITH CHILDREN CHECK
For information regarding WWCC and what our club requires please refer to
www.pointlonsdaleslsc.asn.au/the-club/working-with-children-check/ .
CLUBHOUSE DEVELOPMENT
Over the last 3 years we have attempted to work closely with the Borough of Queenscliffe
to secure a site for a new club facility. Whilst our current building has served us well it is
reaching the end of its life and we desperately need a new building.
At the recent AGM the Club resolved that our new clubhouse development should proceed
on our current site. As most of you will be aware the club owns the land upon which our
building is located and rents the grass area adjacent to the building from the Borough of
Queenscliffe.
Our focus will now be to go about the mammoth task of designing, constructing and
funding a new much-needed building and negotiating an appropriate long term extension
to our lease over the Council owned land adjacent to our building (which we would
anticipate continuing at a nominal rate reflecting the nature of our community contribution
and emergency services activities). I draw your attention to the concept drawings of a
potential new facility, these drawings are on show in our Club rooms.
We are all now excited about the opportunity to develop club facilities that support our
community activities and can be enjoyed by our members.
More information can be found at www.pointlonsdaleslsc.asn.au/the-club/new-clubhouse/
4
POINT LONSDALE SURF LIFE SAVING CLUB
B
Nipper ‘Preliminary Evaluation’ Check,
Photo Declaration & Volunteer WWCC
SEASON 2014 / 2015
Please return this form, with the corresponding signed membership form and payment form.
Child’s Name (please PRINT):
_______________________ Birth Date*: ___ / ___ / _____
•
I agree that my child, as named above, may be photographed or filmed for promotional
purposes by photographers authorised by Point Lonsdale SLSC.
•
As shown at the bottom of this form: a qualified† person has checked that my child has
successfully completed the ‘Preliminary Evaluation’ requirements for their age group.
Parent Name(s): _________________________
Signed:
WWCC Number(s): _________________
_________________________
(Parent / Guardian)
PARENT: CIRCLE AGE GROUP Birth Date*
Age Group
QUALIFIED† SWIM COACH/TEACHER OR
LIFEGUARD: CHECK ABILITY Preliminary Evaluation Requirements
Pool Swim
Survival Float
1/10/2001 – 30/9/2002
Under 13
150 Metres (freestyle)
3 minutes
1/10/2002 – 30/9/2003
Under 12
100 Metres (freestyle)
2 minutes
1/10/2003 – 30/9/2004
Under 11
50 Metres (freestyle)
2 minutes
1/10/2004 – 30/09/2005
Under 10
25 Metres (freestyle)
1 ½ minutes
1/10/2005 – 30/09/2006
Under 9
25 Metres (any stroke)
1 minute
1/10/2006 – 30/9/2007
Under 8
25 Metres (any stroke)
1 minute
Check by qualified† person:
This child has attempted the Pool Swim and Survival Float for their age group, as listed above.
Result: SUCCESSFUL / UNSUCCESSFUL
Tested By (Name): ___________________________
Signed: __________________
Date: __ / __ / ____
□ Swimming Coach
□ Swimming Teacher
□ Swimming Lifeguard
Test Location: ________________
*Birth Date: See allowable dates in the list above. Note we do not operate Nippers for Under 7 or Under 14.
†
Qualified Assessor: Usually assessed by your child’s regular swim teacher or coach. Any person accredited
with a current Bronze Medallion or higher can assess.
PLSLSC NIPPER PARENT INFORMATION 2014-2015
Dear Nipper Parents
Working With Children Check (WWCC)
Life Saving Victoria mandates that every member of a surf club who works with children must have a
current WWCC. In addition, it is a requirement that at least one parent of a registered Nipper is a
member of the club. Your child/children will not be accepted as a Nipper at PLSLSC unless at least
one parent/guardian is a member of the Club and they have valid and current WWCC.
Therefore you must organise your WWCC number BEFORE registration. For more details please visit
http://www.pointlonsdaleslsc.asn.au/the-club/working-with-children-check/
Also a reminder: if you already have a WWCC, but have not listed our club as an organisation for
which you volunteer, then you will need to update your details. This can be done online at
workingwithchildren.vic.gov.au, or call the WWCC unit on 1300 652 879.
Volunteer Roster
In order for our program to run successfully we require a WWCC registered parent to volunteer twice
for different roles during the Nipper program. This parent must be a current member of the club. You
will be asked to sign up when you collect your child’s club gear on Mon 29 December. If you have a
preference please email nippervolunteer@pointlonsdaleslsc.asn.au.
You can volunteer in any of the following activities:
• parent helper – two for each age group
per day (U8, U9, U10, U11, U12, U13)
first aid (first aid qualified)
helping on the Nipper BBQ
selling icy poles
daily pack up and set up
working on the bar at the club
(Info Night, Disco, Presentation Night)
• pre Cosy Corner organisation
• pre/post Cosy Corner pack or unpack
• selling raffle tickets
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
selling pizza on information night
set up at Cosy Corner (Torquay)
pack up Cosy Corner (Torquay)
Nipper Disco helper
Championship Day setup
Championship Day event marshalling
Championship Day pack up
Champ day podium photographer
Champs day roving photographer
Presentation Night photographer
Rip View Swim Classic BBQ
Fluoro Rash Vest $25
Each Nipper is required to have a fluorescent rash vest. These were issued for the first time last
season. If you have a fluoro vest from last year you may use it otherwise you are expected to purchase
one at a cost of $25 using the ‘Clothing Order Form’ Form G in the Membership pack.
Please mark your diary:
• Mon 29 Dec 11am - 1.00pm collection of nipper gear collection and volunteer sign up at
(clubhouse)
• Tues 30 December - Day 1 Nippers 9.30am sharp (Santa Casa)
Please email any questions to me vpyld@pointlonsdaleslsc.asn.au or call the office on 5258 1257.
Look forward to seeing you on the beach.
Bim (Justine) Kiely-Scott
Vice President Youth Leadership & Development
As there is significant interest in joining the Club Nipper Program, please ensure that your
membership renewal is completed before 30 September, to guarantee your place.
C
POINT LONSDALE SURF LIFE SAVING CLUB
Stingers Competition Squad Enrolment Form
SEASON 2014 / 2015
Name/s:
Child 1: _______________________________________ D.O.B _______________
Child 2: _______________________________________ D.O.B _______________
Child 3: _______________________________________ D.O.B _______________
Email: (for comp. and training info) __________________________________________________
Parent Name: _____________________ Mobile:
_____________________
Age Group for Coming Season: Child 1: ___________________ (age at 30th September this year)
Child 2: ___________________ (age at 30th September this year)
Child 3: ___________________ (age at 30th September this year)
S Badge obtained in Previous Season: Child 1:
Y / N
Child 2:
Y / N
Child 3:
Y / N
Participation in Squad in Last Season: Child 1:
Y / N
Child 2:
Y / N
Child 3:
Y / N
Event Preferences (Circle 1):
Child 1:
Beach Events
Surf Events
Beach + Surf Events
Child 2:
Beach Events
Surf Events
Beach + Surf Events
Child 3:
Beach Events
Surf Events
Beach + Surf Events
Beach Events – Flags, Sprint, 500m or 1km Run, Rescue & Resuscitation (R&R)
Surf Events – Wade, Swim, Boards, Iron Man, Aqua Cameron, 2-person rescue
Agreement to participate:
Child 1: ______________________________ (Print & Sign Name)
Child 2: ______________________________ (Print & Sign Name)
Child 3: ______________________________ (Print & Sign Name)
Note: Agreement to Participate refers to the availability to compete in the competitions listed overleaf.
Agreement to support (Parent): __________________________________ (Print & Sign Name)
Course Preference (Circle 1):
Age Manager
Junior Official
Water Safety / Bronze
STINGERS COMPETITION SQUAD INFORMATION
The Stingers Competition squad is run for those Nippers who want to do extra training, increase
their skill and fitness levels, learn the basics of how to compete and compete proudly for the Point
Lonsdale Surf Lifesaving Club. While competing is a focal point of the Squad, the teamwork, team
spirit and friendships developed in the Squad, by both competitors and parents alike, is cherished by
all members.
To be a member of the Stingers Competition squad, your child must obtain their S-Badge. S-Badge
testing is being held on Monday 29 December 2014 at 10am at Santa Casa. Stingers Squad
members must also commit to attending and participating in the following carnivals:
Cosy Corner
Friday 2nd January 2015, (Junior State Carnival #2, Torquay SLSC)
Regional Champs
Saturday 7th February 2015, (Surf Coast Region, Ocean Grove SLSC)
February Comp
Sunday 8th February 2015, (Junior State Carnival #4, Ocean Grove SLSC)
State Champs
Saturday 7th & Sunday 8th March 2015 (Warrnambool SLSC)
Carnivals are as much about team commitment and team goals as individual success.
This season will be a bit different from seasons past. Our competition commitment will increase, and
so will the number of coaching staff helping with each age group. Competitors will be free to
specialise in beach events, water events or both, with coaching designed to build on current skills
and enhance strengths.
Our Club Coach, David Strahan along with qualified volunteers in each area, will run the training
sessions and times will be confirmed once the squad is finalised. While the squad will be larger this
year overall, we are planning training to maximise 1-on-1 or small group interaction with coaches.
There is no extra fee to be involved in this squad. However it will requires a level of commitment
from competitors and parents alike. This season, at least one parent who has a child in the Stingers
Squad will be asked to complete 1 of 3 courses – Age Manager, Junior Official or Bronze / Water
Safety (unless one parent already has this). This will facilitate full eligibility for competitions and will
also build on the skills and knowledge available to competitors and the Club overall.
Our goal for the squad this season is to have at least 8 competitors in each age group (boys and girls)
and to qualify for a team event at the State Championships for each age group (boys and girls). This
is a big task but more than achievable with the skills and abilities we have within the Club.
If you are keen to join to the Stingers Competition squad please provide us with details as requested
on page 2 (this also applies to all past and current members). I very much look forward to seeing
some new faces this coming season, along with our regular, well practised existing members!
Michael Peiniger
VP Aquatics Sports and Team Captain
0409 627 270
POINT LONSDALE SURF LIFE SAVING CLUB
Patrol Member Confirmation
D
SEASON 2014 / 2015
Thank you for being an active member of our surf lifesaving club. We hope you enjoy your involvement with the club:
building your skills via training and reinforced experience, and working with other lifesavers to help keep visitors safe
around our beaches.
Please read this form carefully, mark where indicated and return it with your membership.
We have drafted a patrol roster for the coming summer, to cover all dates stipulated by Life Saving Victoria. The
roster shares the work among our active members, aiming for a balance – we want everyone to have opportunities,
without being overloaded or missing their own summer break.
To request a place on the roster for this season, please fill the details below.
Name
Awards
____________________________
Contact Details (IMPORTANT)
Mobile
Email
Reminders by SMS/Email? OK
Emergency Contact
Mobile:
WWCC Registration – required for all patrol members born on/before 30 September 1997 (age 17+)
WWCC Number __________________ (More information can be found on the club website)
1.
Also check those details on your SLSA Membership Form, and mark corrections on it where needed.
2.
Now look at the patrol dates listed overleaf.
Check them against your own calendar, and maybe check with patrolling friends or family. Then fill below.
Please roster me into
(specify a patrol from the list overleaf)
Also give 1-2 alternatives, in case you we cannot fit you into your preferred patrol.
3.
Mark dates on your calendar NOW, ready for summer. Also make a note of your patrol number and captain.
4.
Return this form with your membership by 31 October. Earlybird discounts apply until 30 September.
We will finalise the summer roster in early November, and publish it on the club website.
Thanks again for being part of our club. Our beach is rated as one of the most dangerous in Victoria, and your
contribution helps us meet our core responsibility of providing its visitors with safety patrols. See you on the beach.
Lachlan Coutie
Club Captain
PS. Reminder: lifesaving awards must be requalified by end of 2014. This takes about two hours – most members
attend a district session in November or early December. Dates are publicised via email/SMS when confirmed.
If you do NOT wish to patrol, please tick here
□ Unavailable and return this form with your renewal. You will also be
placed into a non-active membership category (such as Associate) for future years, unless requested otherwise.
PATROL DATES FOR SEASON 2014-15
PATROL 1 (CAPTAIN: ANDREW MACLEOD)
Saturday 29 November
Sunday 30 November
Sunday 28 December (Rip View Swim)
Saturday 3 January
Sunday 25 January
Saturday 21 March
Sunday 22 March
PATROL 3 (CAPTAIN: HUW JOYCE)
Saturday 20 December
Sunday 21 December
Sunday 28 December (Rip View Swim)
Sunday 11 January
Saturday 7 March
Sunday 8 March
Monday 6 April (Easter Monday)
PATROL 5 (CAPTAIN: TIM HARRISON)
Sunday 28 December (Rip View Swim)
Sunday 18 January
Saturday 24 January
Saturday 31 January
Sunday 01 February
Monday 09 March (Labor Day)
PATROL 7 (CAPTAIN: GRACE HURLEY)
Friday 26 December (Boxing Day)
Sunday 28 December (Rip View Swim)
Saturday 7 February
Sunday 8 February
Saturday 28 March
Sunday 29 March
RESERVE ACTIVE (CAPTAIN: DAVE MCNIEL)
Monday 26 January (Australia Day)
Restricted to members with 8+ years patrol experience,
subject to committee approval of completed application.
PATROL HOURS
1:00pm – 4:00pm
1:00pm – 6:00pm
10:30am – 4:00pm
10:00am – 6:00pm
27th Rip View Swim ALL patrol members
(10:00am – 6:00pm)
Bold = Public Holiday
NOTES
Also see NOTES below.
PATROL 2 (CAPTAIN: ELLIE KINAHAN)
Saturday 6 December
Sunday 7 December
Sunday 28 December (Rip View Swim)
Sunday 4 January
Sunday 21 February
Sunday 22 February
Friday 3 April (Good Friday)
PATROL 4 (CAPTAIN: WILL CAIN)
Saturday 13 December
Sunday 14 December
Sunday 28 December (Rip View Swim)
Saturday 14 March
Sunday 15 March
Saturday 11 April
Sunday 12 April
PATROL 6 (CAPTAIN: NICK CARTER)
Saturday 27 December
Sunday 28 December (Rip View Swim)
Thursday 1 January (New Years Day)
Saturday 10 January
Saturday 14 February
Sunday 15 February
PATROL 8 (CAPTAIN: GEORGE HURLEY)
Sunday 28 December: back beach not Rip View Swim
Saturday 17 January
Saturday 28 February
Sunday 1 March
Saturday 4 April (Easter Saturday)
Saturday 5 April (Easter Sunday)
NIPPER WATER SAFETY (CAPTAIN: HUW JOYCE)
Sunday 28 December (Rip View Swim 10am – 6pm)
HOURS 9:30-11:30/12pm except 10 Jan 8:30am-2:00pm
Monday 29 December (Santa Casa for S-badge tests)
Tuesday 30 December (Santa Casa for Nippers Day 1)
Wednesday 31December ( Santa Casa for Nippers Day 2)
Friday 2 January (Santa Casa for Nippers Day 3)
Saturday 3 January (Santa Casa / Back Beach for Day 4)
Monday 5 January (Santa Casa for Nippers Day 5)
Tuesday 6 January (Santa Casa for Nippers Day 6)
Wednesday 7 January (Santa Casa for Nippers Day 7)
Friday 9 January ( Santa Casa for Nippers Day 8)
Saturday 10 January (Santa Casa for Nipper Champs)
:
►
If you were born on or before 30 Sep 1997 you require a current WWCC which lists our club see
www.pointlonsdaleslsc.asn.au/the-club/working-with-children-check/ for details.
1.
If you plan to gain your SRC or Bronze award this season, please use this form to confirm your patrol in advance. This helps
us schedule you into a patrol – but you can only patrol after you’ve actually gained your award.
All patrol members require current SRC or Bronze award. You MUST re-qualify any expiring awards by 31 December.
Patrol members must be financial 2014-15 club members.
Want to patrol with a particular friend or relative? Find out their patrol number, and request a change into it.
Members are welcome to attend any additional patrol – but please contact Patrol Captain first, as a courtesy.
Full patrol uniform is required: yellow shirt, red shorts, lifesaving cap, red sunsafe hat (broad brim preferred).
If your uniform is damaged or outgrown, visit the clubhouse shop to swap for replacement.
2.
3.
4.
5.
6.
POINT LONSDALE SURF LIFE SAVING CLUB
E
Instructor Expression of Interest
SEASON 2014 / 2015
This season our club will train about 350 Nippers plus many candidates for SRC (Cadet) and Bronze Medallion,
teaching them how to safeguard themselves and others around water. These training programs are all dependent on
volunteer instructors from our club membership, working in teams with qualified experienced colleagues.
Instructing is rewarding and enjoyable, and a great way to cement your own lifesaving skills.
If you are interested in volunteering as an instructor this season, please complete this form and return it with your
club membership renewal by 31 October.
Returning this form does not lock you into being an instructor – it just indicates that you are interested. We make a
list of all club members who are interested, and contact them by email in November for more information.
YOUR NAME: ________________________________________
(Please PRINT clearly)
WERE YOU BORN ON OR BEFORE 30 SEP 1997? Then you MUST have a valid WWCC to be an instructor
please refer to www.pointlonsdaleslsc.asn.au/the-club/working-with-children-check/ for details.
SHIRT SIZE:
XS
MOBILE:
________________________________________
EMAIL:
S
M
L
XL
________________________________________
(email is required – and please ensure you have the SAME email on your SLSA membership form)
Instructors must be 2014-15 members and lifesaving awards must be re-qualified during 2014
NIPPER INSTRUCTOR
Required:
Also helpful:
Key dates:
If this suits:
Age 14 or older. Must hold SRC or Bronze and attend compulsory Instructor Training and be
available for most/all Nipper mornings, see dates below.
Experience as Nipper Instructor. Further awards eg IRB Crew/Driver.
Instructor Training 3pm-6:30pm Mon 29 Dec at clubhouse. Nipper dates Tues 30 Dec, Wed 31 Dec,
Fri 2 Jan, Sat 3 Jan, Mon 5 Jan, Tues 6 Jan, Wed 7 Jan, Fri 9 Jan, Sat 10 Jan
ARE YOU INTERESTED IN BEING A NIPPER INSTRUCTOR THIS SEASON?
YES NO
SRC (CADET) INSTRUCTOR
Required:
Also helpful:
Key dates:
Minimum of SRC award, but preferably Bronze. Must be available for Instructor Training and for
most/all Cadet sessions, see dates below.
Experience as Instructor, further awards, patrol experience.
Instructor Training (date tbd). Cadet dates Mon 12 Jan to Fri 16 Jan inclusive.
If this suits:
ARE YOU INTERESTED IN BEING AN SRC (CADET) INSTRUCTOR THIS SEASON?
Required:
Also helpful:
Key dates:
Must hold Bronze award, and be part of summer patrol roster. Available for Instructor Training and
for most/all Bronze sessions, see dates below.
Further awards eg IRB Crew/Driver, Advanced Resuscitation, Spinal Management.
Instructor Training (date tbd). Bronze dates Sun 14 Dec to Sat 20 Dec inclusive.
If this suits:
ARE YOU INTERESTED IN BEING A BRONZE INSTRUCTOR THIS SEASON?
YES NO
BRONZE INSTRUCTOR
YES NO
THIS PAGE IS INTENTIONALLY BLANK
(IF PRINTING DOUBLE-SIDED, THIS IS THE REVERSE OF THE INSTRUCTOR PAGE)
Point Lonsdale Surf Life Saving Club Incorporated
F
ABN 90 650 713 800
Registered Number A0016072K
Reserve Active / Long Service Application
PO Box 120 Point Lonsdale Victoria 3225
Telephone: (03) 5258 1257 Facsimile: (03) 5258 2823
Email: info@pointlonsdaleslsc.asn.au
www.pointlonsdaleslsc.asn.au
I,
[
] (name)
Of, [
] (address)
Being a current member of the Point Lonsdale Surf Life Saving Club, hereby
apply for Reserve Active / Long Service (strike one out) membership
for the season below.
Application for Season:
___________________ (this season)
Details of patrol service at Point Lonsdale:
Commenced patrols in Season:
___________________
Number of Seasons patrolled at Point Lonsdale:
_____
Details of patrol service at Other Club(s): ___________________ (list name/s)
Commenced patrols in Season:
___________________
Number of Seasons patrolled at Other Club(s):
_____
Please list SLSA / LSV qualifications in which you are currently proficient
(ie. awards that you have requalified in during the last 12 months):
_____________________________________________________________
Please list SLSA / LSV qualifications in which you are not currently proficient,
but plan to requalify this Season :
______________________________________________________________
Signed by : [
This [
] day of [
]
] 20 [
].
Please see explanations on Reserve Active and Long Service Membership, as
listed in the Club’s Constitution over the page.
Please note that Reserve Active and Long Service Membership are only
granted for a maximum period of 12 months – you must re-apply each Season.
ALL APPLICATIONS MUST ARRIVE AT CLUB OFFICE
(WITH MEMBERSHIP RENEWAL & PAYMENT)
NO LATER THAN 30 SEPTEMBER
Reserve Active Membership Reserve Active membership may be granted by the Executive Committee to
any Active member who has completed at least 8 years of patrol or who,
through illness or other exceptional circumstances satisfactory to the
Executive Committee are prevented from carrying out their patrol duty.
Such members shall be exempt from rostered patrols but when present may
be called upon to perform patrol duties at the discretion of the Club Captain or
his Deputy.
Members who wish to apply for Reserve Active membership shall do so in
writing to the Secretary and the appointment to Reserve Active membership
may be made for a period not exceeding one Season.
Long Service Membership –
Long Service membership may be granted by the Executive Committee to
any Active member who fulfills the criteria for Reserve Active membership
under clause 11.3 (c) and who is unable to meet the patrol hour requirements
to be eligible to compete in State or National Surf Life Saving Championships.
Such members shall be exempt from rostered patrols but when present may
be called upon to perform patrol duties at the discretion of the Club Captain or
his Deputy.
Members who wish to apply for Long Service membership shall do so in
writing to the Secretary and the appointment to Long Service membership
may be made for a period not exceeding one Season.
POINT LONSDALE SURF LIFE SAVING CLUB
SEASON 2014 / 2015
Must be returned BY 31 OCTOBER with membership - includes delivery by post before 25 December.
Waterproof Jacket
Adult Jacket
Rugby Jumper
Adult Black+Gold Rugby
Track Pants Adult
Adult Track Pants - RED
Adult Track Pants - BLACK
Track Pants Child
Child Track Pants - RED
Child Track Pants - BLACK
Hoodies
Adult Hoodie Black
XS
S
M
L
XL
XXL
C10 C12 C14 C16 XS
S
M
L
XL
2XL 3XL
90.00
8A 10A 12A 14A 16A 18A 20A 22A 24A 26A
55.00
55.00
6C
8C 10C 12C 14C 16C
55.00
55.00
S
M
L
XL
2XL
55.00
10
12
14
16
Child Hoodie Gold
50.00
S
Patrol Hoodie Grey *
Polo Shirts
Adult White with Black Collar
Adult Black with White Collar
Shorts
Adult Red Shorts
Adult Black Shorts
M
L
XL
2XL
65.00
XS
S
M
L
XL
30.00
30.00
S
M
L
XL
35.00
35.00
S
M
L
Nipper B'totties Shorts
Bathers
Mens Bathers
30.00
M16 M18 M20 M22 M24 M26
40.00
B6
B8 B10 B12 B14
Boys Bathers
35.00
L8
L10 L12 L14 L16
Ladies Bathers (One Piece)
60.00
G6
G8 G10 G12 G14
55.00
ONE SIZE
15.00
20.00
2.00
6
8
10
12
14
16
ONE SIZE
25.00
15.00
Fluoro Rash Vest is required, and is identical to last season 2013-14: re-use if possible.
Nipper Lifesaving Cap is required, and is identical to previous seasons: re-use if possible.
►► NIPPER GEAR must be collected from clubhouse Monday 29 December 11am-1pm.
Name:
Phone:
Address:
Suburb
$EACH QTY $TOTAL
90.00
8
Girls Bathers (One Piece)
Hats Caps Etc
Black Peak Cap with Logo
Reversible Lifesaving Cap
Club Car Sticker
►► NIPPER EQUIPMENT ◄◄
Fluoro Rash Vest (see below)
Nipper Lifesaving Cap
G
Clothing Order Form
Postcode
* Patrol Hoodie may only be purchased by members who completed 16+ patrol hours last season.
TOTAL:
↓
HOW TO PAY
Include this
Clothing Order
total on your
Payment form
POINT LONSDALE SURF LIFE SAVING CLUB
www.pointlonsdaleslsc.asn.au
uniformofficer@pointlonsdaleslsc.asn.au
clubhouse shop: 54 Ocean Rd, cnr Buckleys Rd
CLOTHING CATALOGUE 2014-15
Adult Jacket $90.00
Windproof & Waterproof
Zip pockets, removable hood
Return order form by 31 OCTOBER with membership:
includes delivery via Australia Post before 25 December.
Otherwise visit clubhouse to purchase from shop stock.
All prices include GST.
REQUIRED NIPPER EQUIPMENT
Compulsory for all Nippers,
to aid visibility in the surf
Nipper Cap $15.00
Same as last season:
re-use cap if possible
Nipper Fluoro Rash Vest $25.00
Rugby Jumper $90.00
Black and gold, woven cotton
A hi-vis safety vest: needed for EVERY Nipper
► This equipment must be collected from clubhouse:
we do not post it out. See dates & times overleaf. ◄
Kids Hoodie $50.00
Gold with logo & printed sleeve
Adult Black Hoodie $55.00
With logo & printed sleeve
Nippers B'totties
Shorts $30.00
Track Pants $55.00
Poly/cotton fleece, red or black
BATHERS: All printed with Club branding.
Durofast fabric suitable for chlorine and saltwater.
Ladies One Piece $60.00, Girls One Piece $55.00
Club Shorts $35.00
Drawstring, Side Pockets
Club Logo on front
Red or Black
PATROL CORNER
Club Polo Shirt $30.00
Black or White
Club Cap $15.00
Lifesaving Cap $20.00
Patrol colours red/yellow,
reversible for competition
Car Sticker
$2.00
Grey Patrol Hoodie $65.00
*For purchase only by active members who completed 16+ patrol hours last season.
Mens Bathers $40.00
Boys Bathers $35.00
POINT LONSDALE SURF LIFE SAVING CLUB
H
MEMBERSHIP PAYMENT – SEASON 2014 / 2015
One per family. Each member must also return a signed SLSA “APPLICATION FOR MEMBERSHIP”.
Membership Category
EARLY BIRD
RENEWALS ONLY
must arrive at office
by 30 September
ALL NEW MEMBERS
regardless of date
OR LATE RENEWALS
after 30 September
Family
$ 280
$ 370
Payment covers all members age 7+ at same address.
Junior Activity (Nipper)
Subject to space in age group.
Associate – Nipper Parent
$ 80
$ 100
Cadet (13-15 years)
$ 80
$ 100
$ 80
$ 100
Active (18+ years)
$ 80
$ 100
Reserve Active / Long Service
$ 95
$ 105
Life Member
$0
$0
Associate
$ 100
$ 120
Social Member
$ 125
$ 146
Enrolment in SRC program is separate & additional.
Active Junior (15-18 years)
Enrolment in Bronze program is separate & additional.
Must apply annually on appropriate form.
Category “General” on SLSA form.
Family Name: ____________________________________
Amount
($)
$ 110
$ 90
At least one parent must also be a member.
Number
of
People
TOTAL MEMBERSHIP FEES
Plus – Clothing Order, for delivery by post. Use order form G by 31 October.
No late orders. Clothing can also be purchased directly from the clubhouse shop.
CLOTHING
Plus – Tax Deductible Donation
Example costs: $1300 Rescue Board, $500 Spinal Board, $160 Loud Hailer,
$120 Rescue Tube, $40 Neck Brace. Other $ ____________
DONATION
To be used for (please select one)
General Donation – to support continuation of current activities
Building Fund – to meet building needs of the club, including major repairs
THE POINTERS ENDOWMENT FUND – FOR FUTURE NEW CLUBHOUSE
TOTAL
PAYMENT
Name(s) to appear on donation receipt: _______________________________
Send to address:
Suburb:
Card Type: Visa
PAYMENT BY CREDIT CARD (PREFERRED)
-
Card Number:
Expiry Date:
/
Postcode:
-
Mastercard
-
Name of Card Holder: ___________________
Contact Phone: ___________________
Card Holder Signature: ___________________
-OR- PAYMENT BY CHEQUE Payable to Point Lonsdale Surf Life Saving Club. Please attach securely.
THIS PAGE IS INTENTIONALLY BLANK
(IF PRINTING DOUBLE-SIDED, THIS IS THE REVERSE OF THE PAYMENT PAGE)
APPLICATION FOR MEMBERSHIP 20___ / 20___ SEASON 1.
CLUB NAME _______________________________________________________________________________ SLSC 2. GENERAL DETAILS I hereby apply for membership of SLSA. I have read, understood, acknowledge and agree to the declaration and application over leaf. I have signed that declaration and application. INITIAL MEMBERSHIP RENEWING
TITLE ____ (Mr, Mrs, Ms, etc) FIRST NAME ____________________ SECOND INITIAL ___ LAST NAME _____________________________ MALE FEMALE DATE OF BIRTH ____ / ____ / ____ OCCUPATION ___________________________________________ ADDRESS __________________________________________________________________________________POSTCODE ____________ PHONE: HOME ______________________BUSINESS ___________________________ FAX_____________________________________ MOBILE ______________________ PREFERRED CONTACT NUMBER NO B / H / M EMAIL_____________________________________ Drivers License License Number ____________________ License Type ________________________ Exp Date ___________________ Shirt Size (Please Circle) 6 / 8 / 10 / 12 / 14 / XS / S / M / L / XL / 2XL / 3XL / 4XL / 5XL Short Size (Please Circle) S / M / L / XL / 2XL / 3XL / 4XL / 5XL I do not wish to receive email/sms communication 3. MEMBERSHIP DETAILS APPLIED FOR – SUBJECT TO CLUB ENDORSEMENT (Tick one box only) PROBATIONARY……………………………….. AWARD MEMBER…………..… ASSOCIATE……………… JUNIOR ACTIVITY MEMBER (5‐13 years) ……… RESERVE ACTIVE………….… LIFE MEMBER…………… CADET MEMBER (13‐15 years)………………… LONG SERVICE………….…… GENERAL..……………….. ACTIVE (15‐18 years)…………………………… PAST ACTIVE….………….…… HONORARY……………… ACTIVE (18 years and over)……… ……………… Date Joined ________________ Competitive Rights with this club: YES NO Member Protection Form Completed? YES NO Locker Number ______ Key No ________ Membership Protection Number (where applicable) _________________ 4. OTHER SURF LIFE SAVING CLUB MEMBERSHIPS (Please attach list if more than two) _______________________________________________ SLSC_______________________________________________________ SLSC 5. 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. HAVE YOU READ THIS SECTION? YES NO 6. EMERGENCY CONTACT FIRST NAME ___________________________________________LAST NAME ______________________________________________ RELATIONSHIP _ __________ADDRESS _____________________________________________________ POSTCODE ____________ PHONE: HOME _________________ BUSINESS __________________ FAX: __________________MOBILE: _____________________ 7. BACKGROUND DETAILS (optional) Are you from a culturally and linguistically diverse background? YES NO Cultural Background ________________________ NO Second Language ___________________________ Do you use any languages other than English in your home? YES Are you of Aboriginal descent? YES NO Are you of Torres Strait Islander descent? YES NO 8. 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. SIGNATURE ________________________________________________________ DATE: _____________________________________ 9. 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. FIRST NAME ___________________________________________ LAST NAME ____________________________________________ SIGNATURE ___________________________________________________ DATE ____________________________________________ 10. OFFICE USE ONLY Date Application received ____ / ____ / ____ Amount paid: $_________________ Receipt No. ____________________________________ Accepted / Rejected by Club Management – Date ____ / ____ / ____ Signature of Club Officer ___________________________________ Membership Category allocated _________ Capitation/Membership No. ___________ ID Cited – Type _________ Date ________ Entered ____ / ____ / ____ Note: DOB can only be amended with the approval of your State Centre after initial entry Form 76 ‐3‐14 SLSA MEMBERSHIP APPLICATION & DECLARATION I [insert name] ………………………………………… of [insert address]………………………………… hereby apply for membership of SLSA. In consideration of my application for membership being accepted I acknowledge and agree that: 1.
In this membership declaration: “Claim” means and includes any action, suit, proceeding, claim, demand, damage, penalty, cost or expense however arising including but not limited to negligence BUT does NOT include a claim against SLSA by any person entitled to make a claim under a relevant SLSA insurance policy or under the SLSA Constitution or SLSA Regulations. “SLSA” means Surf Life Saving Australia Limited. “SLS Organisations” means and includes SLSA, its subsidiaries, its members (including State Centres & Clubs), Branches and their respective directors, officers, members, servants or agents. “SLS Activities” means performing or participating in any capacity in any activity authorised or recognised by SLSA. 2.
If my application for membership is accepted I will be a member of [Insert Club]……………………………… SLSC, [insert Branch if relevant]……………………………., [insert State]……………………………. State Centre & SLSA. I acknowledge my application will be deemed to be accepted upon my participation in SLS Activities and I acknowledge that I will be bound by and agree to comply with the constitutions, regulations and policies of the SLS Organisations. These rules are necessary and reasonable for promoting SLSA and surf lifesaving as a community service. 3.
Warning: SLS Activities can be inherently dangerous. I acknowledge that I am exposed to certain risks during SLS Activities including but not limited to physical exertion, contact with surf lifesaving equipment, body contact and surf, sea and weather conditions. I acknowledge that accidents can and often do happen which may result in me being injured or even killed, or my property being damaged. I have voluntarily read and understood this warning and accept and assume the inherent risks in participating in SLS Activities. 4.
Exclusion of implied terms: I acknowledge that where I am a consumer of recreational services, as defined by any relevant law, certain terms and rights usually implied into a contract for the supply of goods and services may be excluded. I acknowledge that these implied terms and rights and any liability of the SLS Organisations (or any of them) flowing from them, are expressly excluded to the extent possible by law, by this membership declaration. To the extent of any liability arising, the liability of the SLS Organisations will, at the discretion of the relevant SLS Organisation, be limited to the resupply of the services or the payment of the cost of having the services supplied again. 5.
Release & Indemnity: In consideration of SLSA accepting my application for membership I: (a) release and will release the SLS Organisations from all Claims that I may have or may have had but for this release arising from or in connection with my membership and/or participation in any SLS Activities; and (b) indemnify and will keep indemnified the SLS 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 membership and/or participation in any SLS Activities. 6. Fitness to Participate: I declare that I am medically and physically fit and able to participate in any SLS Activities. I am not and must not be a danger to myself or to the health and safety of others. I will immediately notify SLSA in writing through my Club of any change to my medical condition, fitness and ability to participate. 7. Privacy: By completing this form I consent to SLSA using, disclosing and storing my personal information in accordance with the SLSA Privacy Policy. I understand that the information I have provided in this form is necessary for the proper management of SLSA events and for administrating surf life saving and related activities in Australia. The information is collected in accordance with the SLSA Privacy Policy (available at www.sls.com.au). SLSA may share my information with SLSA Affiliates in accordance with the Privacy Policy and it may also be used to notify me of other events, news, and to offer the provision of services, including by third‐party providers, to me. I understand that the SLSA Privacy Policy contains information about how I may access and request correction of my personal information held by SLSA, or make a complaint about the handling of my personal information, and provides information about how a complaint will be dealt with by SLSA. If the information is not provided my application may be rejected. I acknowledge that if I do not wish to receive promotional material from SLSA sponsors and third parties I may advise in writing or via the opt‐out process provided in the relevant communication. 8. Use of image: I consent to the relevant SLS Organisation(s) of which I am a member, using my name, image, likeness and also my performance in or of any SLS Activity at any time to promote the Objects of the relevant SLS Organisation(s), by any form of media. I waive any rights I might have to or in such use of my name, image or likeness by the relevant SLS Organisation(s). 9. I have provided the information required overleaf and signed both sides of this form. I warrant that all information provided is true and correct. I acknowledge that this membership declaration cannot be amended. If I do amend it my application will be null and void and cannot be accepted by SLSA. 10. Severance: If any provision of this membership declaration is invalid or unenforceable in any jurisdiction, the phrase or clause is to be read down for the purpose of that jurisdiction, if possible, so as to be valid and enforceable. If the phrase or clause cannot be so read down it will be severed to the extent of the invalidity or unenforceability of it in any other jurisdiction. Such severance does not affect the remaining provisions of this membership declaration or affect the validity or enforceability of it in any other jurisdiction. I have read, understood, acknowledge and agree to the above declaration including the warning, exclusion of liability, release & indemnity. I acknowledge that if my application for membership is successful I will be entitled to all benefits, advantages, privileges and services of SLSA membership. Signed: ........................................................................... Date:………………..……..Name…………………………………………………………………….………………. NOTE: Where the applicant is under 18 years of age this form must also be signed by the applicant’s parent or legal guardian. I, ........................................................... am the parent or guardian of the applicant. I authorize and consent to the applicant undertaking the SLS Activities. In consideration of the applicant’s membership being accepted I expressly agree to be responsible for the applicant’s behaviour and agree to personally accept in my capacity as parent or guardian the terms set out in this membership application and declaration including the provision by me of a release and indemnity in the terms set out above. In addition I agree to be bound by and to comply with the SLSA constitution and any regulations and policies made under it. Parent’s signature: ........................................................ Date: ………………..……Name: ............................ ……………………………………………………….. (Where applicant under 18 years of age)