trust waikato waihi beach lifeguard services inc€¦ · mens jammers $ 65 manuals/workbooks $ 15...
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Trust Waikato Waihi Beach Lifeguard Services Inc E: [email protected] P: 07 863 5108 W: waihibeachlifeguards.co.nz
REGISTRATION FORM – 1 June 2014 to 30 May 2015 CHILD / LIFEGUARD (ACTIVE) FEES – RECEIPT NUMBER
First Surname Male/ Female
Date of
birth
Age at 1/10/14 SLSNZ #
Medical conditions or allergies
Participant’s email & mobile (All active members under 18 please provide parent’s
email address)
PARENTS / GUARDIANS / ASSOCIATE / SOCIAL ADULT MEMBERSHIP
First Surname Associate Social SLSNZ# Medical conditions or allergies
Mobile Number
ADDRESS (home) ADDRESS (holiday location – Waihi Beach)
EMAIL (parent 1)
EMAIL (parent 2)
Comments
Emergency Contact Name
Phone No
I give permission for club photographs involving our family to be used for media purposes promoting Waihi Beach Lifeguard Services.
Y / N
MEMBERSHIP CATEGORIES
Cost $ SLSN
Z N
o
Vo
te
Ove
r 1
8yr
Do
wn
stai
rs
sho
wer
s
Do
wn
stai
rs
Kit
chen
IRB
& S
urf
Bo
at
area
Bar
, dec
k &
lou
nge
Acc
om
mo
dat
ion
(1
6 y
ears
+)
Gym
Total ($)
Lifeguard (14 years +) $ 60
Associate $ 45
Social $ 25
Junior surf $ 50
Family Membership - social 2 social adults & 2 active members Additional active members $25
$ 140
Family Membership - associate 2 associate adults & 2 active members Additional active members $25
$ 180
Early bird payment discount Payment of invoice by 22 October 2014 to qualify 10% discount $
TOTAL $
SPORTS EQUIPMENT Please indicate your interest in the following sport/equipment so we can allocate accordingly. Please indicate your requirements prior to the start of the season to assist with allocation. Very interested Somewhat interested Not interested
Foam board hire
Fibreglass board hire
Ski hire
Canoe hire
IRB Racing
Surf Boats
Comments:
Received board policy Signed board policy Received Equipment Care & Maintenance Sheet
Summary Adults Children Total Amount Receipt/Invoice No: Number of
Payment cheque cash internet part payment $
Comments (any preferences)
CLUB CLOTHING & MERCHANDISE ORDER FORM (swimwear available for collection Labour Weekend)
NAME_________________________________________ Phone No: ____________________________________
An invoice will be actioned on receipt of your registration form.nternet banking payments to account number 03 1576 0021159 00 with surname
indicate fees/uniform/equipment.
Back Order/Notes
_______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
CLUB CLOTHING Price Size Quantity Total $
Taken (sign)
LIFEGUARDING (red/yellow)
Price Size Quantity Total $ Taken (sign)
Ladies 1-piece $75 Shorts $ 22
Ladies bikinis $ 85 Polo shirt $ 15
Girls 1-piece $ 70 Rash shirt $ 30
Girls bikinis $ 80 Jacket $ 65
Girls jammers $ 50
Mens brief togs $ 45 Wide brimmed hat $ 10
Mens jammers $ 65 Manuals/workbooks $ 15
Boys brief togs $ 40
Boys jammers $ 60Rash shirt (blue/white) $ 45 MERCHANDISE
Safety Hi-Vis vest $ 16 Surf NZ towel $ 30
Skull cap (small) $ 10 Gear bag - named $ 45
Skull cap (large) $ 12 Back pack $ 35
Club singlet $ 30
Club shorts $ 30 Club hoody – adult $ 55
Club hoody - child $ 45 Club polo – adult $ 40
Club polo shirt - child $ 35 Club singlet - adult $ 35
Club beach coat $147 Club shorts – adult $ 35
Total $ $
Compulsory uniform Togs, skull cap & hi-vis vest (competitions) Rash shirt recommended
Total uniform costs $
Payment internet cheque cash part payment $ Invoice No: Payment received:
Members of Trust Waikato Waihi Beach Lifeguards Services Inc
Code of Conduct
PREAMBLE
The Waihi Beach Lifeguard Service (Club) has been established by the community to provide life saving services to benefit beach users at Waihi. Our members share a mutual interest and respect for the objectives of the Club and a respect for one another.
This Code of Conduct is to provide firstly a basis as to how members should conduct themselves, and secondly, to ensure a safe environment for the mutual benefit of the membership as a whole.
Our membership is open to all those fulfilling membership criteria
Privacy of individual members is to be respected. Personal information collected is for use within our organisation and is not available toothers
No member should conduct themselves in a manner likely to give offence or cause harm to others
The safety of all members is paramount. No member will put other members at risk, either physically or emotionally
Respect for club property. It is yours. Clean and put away all equipment. Clean, close and lock the entire club when leaving the club
Respect the feelings of others, and consider your actions and their effects on others
Remember, we rely on the community for support. Your actions as a member may impact on the way the community views us.
It is the policy of the club to provide a healthy and safe environment for all members.
Harassment in any form will not be tolerated.
Participant: Signature: ____________________________________________ Parent: Signature___________________________________
Date: ____________________________________________
If under 18 years old
* Listen to your coach/s and follow their instructions.
Item Description Picture Sizes Beach Towels
In it for life – 100 year
celebration
One size
Gear Bag – named
Medium capacity for all of
your gear.
One size
Swim Goggles
Ideal for surf swimming,
anti fog.
Great value.
One size
Beach Coat
Ideal to keep the swimmer
warm after exercise. Fleece
on the inside, parka material
on the outside.
Named & club logo
Childrens 10y 12y 14y 16y
half chest 51.5 54 56.5 59
back length 94 96 98 100
sleeve length 67 70 73 75
Mens/Ladies S M L
half chest 61.5 64 66.5
back length 104 106 107
sleeves length 78 80 82
All measurements in cm
Club Singlet
Summer friendly material.
Nice design.
Mens & ladies styles
Name on reverse.
Childrens
6, 8, 10,12,14,16
Ladies
6, 8, 10,12,14,16
Mens
S, M, L, XL
Club Cap
Washable, breathable cap
with adjustable strap.
Keep the sun off your face.
One size
Un
ifo
rm C
atal
ogue
Item Description Picture Sizes
Club Polo Shirt
Breathable fabric complete
with club logo. Includes name
printed on the shirt.
Childrens
6, 8, 10,12,14,16
Mens/Ladies
S, M, L, XL, 2XL
Club Hoodie
360gsm fleece
classic fit. Lined hood, pouch
pocket. Name printed on the
hoodie. Club logo included.
Childrens
6, 8, 10,12,14,16
Ladies
S, M, L, XL
Mens
S, M, L, XL, 2XL
Club Shorts
Breathable fabric complete
with club logo
Childrens
4, 6, 8, 10,12,14,16
Mens/Ladies
S, M, L, XL, 2XL
Safety Hi-Vis Vest
Must be worn when competing
& during water based training.
Colour may be different to
picture.
Childrens
10,12,14,
Mens/Ladies
XS, S, M, L, XL, 2XL, 3XL
Jammers
Suitable for all competitors.
Worn alone or over togs.
Can be worn to competitions.
Male & Female Styles
S, M, L, XL
Un
ifo
rm C
atal
ogue