2025/26 Rock Fishing Booking Form

2025/26 Rock Fishing Booking Form
PLEASE NOTE: Submitting this form does not confirm your booking. We will email you a confirmation once we have secured a presenter for you.

We kindly ask for bookings to be made at least two weeks in advance. For urgent requests within the next week or for booking multiple sessions, please contact us at community@surflifesaving.com.au.
Organisation, Centre, or Group Name
Organisation type

Other
Main Contact Full Name

First NameLast Name
Main Contact Title/Role
Main Contact Email
example@example.com
Main Contact Phone Number

Area CodePhone Number
Which Program Would you like Delivered?
Session Location Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Age Range of Audience
Estimated Number of Participants Attending
Please choose your preferred date and time for the session.

MonthDayYear
Date
Hour MinutesAM/PM Option
Please choose a second preferred date and time for the session.

MonthDayYear
Date
Hour MinutesAM/PM Option
Number of participants (if any) who were born overseas (including new migrants, refugees and family members of participants)
Number of participants who have low English Language Proficiency (ELP) and their primary language(s)
Do you have any additional requests or questions for us?
Should be Empty: