• FOR OFFICE USE ONLY - please do not enter details in this box.
  • Name

  • Choose something easy to remember. For example, smithfamily or petersmith
  • Contact Details

  • Emergency Contact Details

    Nippers and Youth memberships only.
  • Working with Children Check

    Some memberships (as outlined on the previous page) require a valid volunteer Working with Children Check.
  • Some membership types require a valid volunteer Working with Children Check (WWCC), as outlined on the Members Portal page. Please select one of the options. If you do not have a valid WWCC, you can apply here http://www.workingwithchildren.vic.gov.au/
  • Please enter your WWCC card number.
  • Please enter the expiry date of your Working with Children Check.
  • Set your password

  • Minimum length of 6 characters.
    The password must have a minimum strength of Very Weak.
    Strength indicator
  • By checking this box I agree that all details provided by me within this form are true and correct. If the person being registered as a member of the Seaspray Surf Life Saving Club is under 18 years of age, I confirm I am the legal parent or guardian of the above named and have appropriate permission to apply for registration.
  • Verification