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* 1. Where did your rescue take place?

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* 2. When did your rescue take place?

Date

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* 3. Most relevant rescue description (check all relevant to rescue)

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* 4. Have you participated in a Surfers Rescue 24/7 course before?

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* 5. How many years have you been surfing?

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* 6. Please provide your contact information (this is required for demographic analysis)

T