Surf Life Saving Queensland - Linking Blue Card Services Registration Account and Valid Blue Card/Exemption Blue Cards

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

Surfguard Member ID Number (if known)

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* 2. Your Details

First Name

Surname

Date of Birth (DD/MM/YYYY)

Email Address

Mobile Number

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* 3. At your surf club you are a:

Volunteer

Paid employee

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* 4. Which Club/organisation are you a member of?

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* 5. Blue Card Services Account Number (Number received from Blue Card Services after completing your registration if you dont have this then provide your Blue Card number below))

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* 6. Blue Card Number