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Bay of Plenty SLGA Exam # 5

Date: 19th February - Venue: Mt Maunganui

Please ensure that clubs supply a 1 Instructor/Club Rep to 5 Candidate ratio for water safety. 
1.Full Name(Required.)
2.SLSNZ Membership Number
3.Contact Email(Required.)
4.Club(Required.)
5.Attending as(Required.)
6.Club Instructor Name
7.Club Instructor Email
8.Club Instructor Mobile
9.You will need to bring the following things with you to the exam(Required.)
I will bring this with me to the exam
I will make sure I bring this with me to the exam
Completed & Signed off Workbook
A Pen
Swimming Gear (togs, towel, goggles)
Fins
Rescue Tube
Club Instructor or Representative
10.Please acknowledge you have read the following:

"If you do not have the prerequisites will not be able to attend the exam."(Required.)