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

1.Your Details

Surfguard Member ID Number (if known)

2.Your Details(Required.)

First Name

Surname

Date of Birth (DD/MM/YYYY)

Email Address

Mobile Number

3.Type of Application
(PLEASE NOTE: Only Teachers and Police Officers have exemption cards)(Required.)

New Application (never held a card before)

Renewing Application

Card from another organisation

Exemption Card

4.Is your card Volunteer or Paid(Required.)

Volunteer

Paid employee

5.Which Club/organisation are you a member of?(Required.)

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)

7.Blue Card Number (For Members who have a current BlueCard - this is between 5 - 10 numbers with a /. example 000000/1).