Membership Acquisition Form

First name*

Last name*

Email*

Number*

Postcode*

How would you prefer to be contacted? *

What would you like to be involved in?*

Why do you want to get involved? *

Are you:*

Do you have a club in mind? *

I have:*

Have you ever been involved in Lifesaving before?*

What kind of availability do you have to volunteer? *

I'm free everyday

I'm only free weekends

I'm only free during the week

I'm only available Saturdays

I'm only available Sundays

I'm available in the evenings

I'm available in the mornings

How much time do you want to give? *

Less than 1 weekend a month

1 weekend a month

More than 1 weekend a month

Do you have any further questions? *

Would you like to sign up to our database? *

Yes

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