JOINING MEMBERS FORMS – NIPPER FAMILIES

Step 1 of 3

New member Proof of Age
It is a SLSA requirement that each joining member must verify their Date of Birth.
Number of Members Joining*
- 1
- 2
- 3
- 4
- 5
New Member 1 Name*
First Last
New Member 1 Age at 1 October 2021*
New Member 1 Date of Birth*
DD slash MM slash YYYY
New Member 1 Document Upload for Proof of Age*
Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 2 MB.
Please provide Proof of Age scanned photo of Birth Certificate, Passport or Drivers licence
New Member 2 Name*
First Last
New Member 2 Age at 1 October 2021*
New Member 2 Date of Birth*
DD slash MM slash YYYY
New Member 2 Document Upload for Proof of Age*
Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 2 MB.
Please provide Proof of Age scanned photo of Birth Certificate, Passport or Drivers licence
New Member 3 Name*
First Last
New Member 3 Age at 1 October 2021*
New Member 3 Date of Birth*
DD slash MM slash YYYY
New Member 3 Document Upload for Proof of Age*
Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 2 MB.
Please provide Proof of Age scanned photo of Birth Certificate, Passport or Drivers licence
New Member 4 Name*
First Last
New Member 4 Age at 1 October 2021*
New Member 4 Date of Birth*
DD slash MM slash YYYY
New Member 4 Document Upload for Proof of Age*
Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 2 MB.
Please provide Proof of Age scanned photo of Birth Certificate, Passport or Drivers licence
New Member 5 Name*
First Last
New Member 5 Age at 1 October 2021*
New Member 5 Date of Birth*
DD slash MM slash YYYY
New Member 5 Document Upload for Proof of Age*
Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 2 MB.
Please provide Proof of Age scanned photo of Birth Certificate, Passport or Drivers licence

Nipper Proficiency Levels Agreement
It is vital for Surf Life Saving Clubs to ensure their enrolled Nippers are proficient in the pool and surf, to ensure they are: SURF COMPETENT, SURF CONFIDENT, SURF SAFE Each year your child/Children must successfully complete their Age Groups Proficiency Level, as outlined, to allow them to be a Nipper.
Parent or Guardian Name*
First Last
Email*
Address
Address City State Post Code Country
Number or Children under 13 years*
- 1
- 2
- 3
- 4
Child 1 Name*
First Last
Child 1 Date of Birth*
DD slash MM slash YYYY
Child 2 Name*
First Last
Child 2 Date of Birth*
DD slash MM slash YYYY
Child 3 Name*
First Last
Child 3 Date of Birth*
DD slash MM slash YYYY
Child 4 Name*
First Last
Child 4 Date of Birth*
DD slash MM slash YYYY
It is vital for Surf Life Saving Clubs to ensure their enrolled Nippers are proficient in the pool and surf, to ensure they are: SURF COMPETENT, SURF CONFIDENT, SURF SAFE Each year your child/Children must successfully complete their Age Groups Proficiency Level, as outlined, to allow them to be a Nipper. This is a compulsory requirement for SLSA.
Parent/Guardian Agreement*
I agree to the Nipper proficiency levels agreement

NIPPER AGE GROUPS 2021-22

Under 6*	1st October 2015 to 30th September 2016
Under 7	1st October 2014 to 30th September 2015
Under 8	1st October 2013 to 30th September 2014
Under 9	1st October 2012 to 30th September 2013
Under 10	1st October 2011 to 30th September 2012
Under 11	1st October 2010 to 30th September 2011
Under 12	1st October 2009 to 30th September 2010
Under 13	1st October 2008 to 30th September 2009
Under 14	1st October 2007 to 30th September 2008

*Children must have reached 5 years before they can be registered.

As per SLSA Guidelines we do not allow movement either up or down between the age groups.

JOINING MEMBERS FORMS – NIPPER FAMILIES

Step 1 of 3

New member Proof of Age

Nipper Proficiency Levels Agreement

Volunteer Agreement

NIPPER AGE GROUPS 2021-22

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