Senior Surf Sports Registration form - Papamoa Surf Lifesaving

This form is for Senior Athletes, U15 (14 years of age) and above for the summer season programme.

Participants Name*
Email*
Date of Birth*
Date Format: MM slash DD slash YYYY
Mobile Number*
Emergency Contact Name*
Emergency Contact Mobile Number*
Anything we should know? e.g. Medical, planned time away?
Please read the club programme safety information here: https://www.papamoalifeguards.co.nz/safety-information/*
- I have read and agree with the safety measures