LWC 2024 - 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.

If you are a Queensland Surf Life Saving Club Member please complete your details at https://www.surveymonkey.com/r/SLSQBCSLink

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* 1. Your Details

First Name

Surname

Date of Birth (DD/MM/YYYY)

Email Address

Mobile Number

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* 2. At the World Champs you are a:

Official

Paid employee

Team Manager

Coach

Chaperone

Other

Other (please specify)

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

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* 4. Customer Reference Number (Number received from Queensland Department of Transport and Main Roads):

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* 5. Blue Card Services Account Number (Number received from Blue Card Services after completing your registration) If you don't have this then please provide Blue Card Number below

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* 6. Blue Card Number