The information you provide is for Surf Life Saving Queensland to verify your membership details and to process the linking of your Blue Card Registration or Valid Blue Card to our organisation.

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* 1. Your Details

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* 2. Your Details

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* 3. Type of Application

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* 4. Is your card Volunteer or Paid

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* 6. Blue Card Services Account Number (Number received from Blue Card Services after completing your registration if you don't have this then provide your Blue Card number below)

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* 7. Blue Card Number

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