Staging - MMSLC

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Active Membership Selection Form

2024/25 Active Membership Selection Form - 1st year members do not need to complete this

"*" indicates required fields

First Name*

Surname*

Mobile No.*

Email*

Active Membership Selection - some categories have limits on numbers, once they are filled this will no longer be an option*

1st Year Member - no active role required

Patrol (16 hours +)

Current Executive Member

Current Committee Member

Current Sub Committee Member (specify in comments)

Working Bees - 26/10/24, 25/01/25, 26/04/24 9am-1pm

Starfish Nippers Mentor

Nipper Age Group Manager/Assistant (specify age group in comments)

Water Safety (U6 Nipper age group)

Events - (specify area in comments)

Social Member/Family

Comments

Requirements*

I understand that I am required to contribute a minimum of 16 hours of volunteer work at MMLSC

MOUNT MARTHA LIFE SAVING CLUB

Email Address: admin@mmlsc.com.au

Phone number: (03) 5974 4140

Postal Address: PO Box 462, Mount Martha, VIC 3934

Physical Address: Esplanade, Mount Martha – Melways Reference 144 – J11