Your Details

Application Type Swim Teacher License Registration (Application)Swim Teacher License Re-registration (Renewal)

Your title: ---MrMrsMissMsDrOther

Your name:

Your email:

Telephone Number:

Did you do your Swim Teacher Course with Royal Life Saving Queensland?
---NoI don't knowYes

Upload your photo

Please upload a clear photo of your face

Note:
- File type permitted: 'jpg' only
- Maximum file size 2MB
- Must be a Passport Style photo of less than six months old
- If taken by you, good quality, in colour and focus and head and should only. Looking straight at the camera and with a plain background.

Identification

Please upload a clear photo of your photo identification document (i.e. Drivers License or Passport)

Note:
- File type permitted: 'jpg' or 'pdf' only
- Maximum file size 2MB
- Must be a government issued photo identification

Working with Children Check

Please take a photo of your Blue card (or Exemption Card) and upload the picture. By submitting this form your authorise Royal Life Saving to link your card to us.

Blue Card / Exemption Card

Note:
- File type permitted: 'jpg' or 'pdf' only
- Maximum file size 2MB

Health & Fitness

Please refer to Section 5 of the Licensee Handbook. Please confirm that you have an appropriate level of health & fitness consistent with the GSPO (refer section 5) to perform your duties as a Swim Teacher.
---YesNo

Safeguarding Children

Please refer to Section 2 of the Licensee Handbook. Please confirm that you read the section 'Safeguarding Children' and agree to the Code of Coduct.
---YesNo

Messages

Please enter any messages or questions that you have:

Royal Life Saving Queensland (RLSSQ) will verify the above information and may issue a Swim Teacher License in accordance with the terms and conditions outlined in the Licensee Handbook. RLSSQ reserves its right to cancel a Swim Teacher License at it discretion.

Please click to confirm that:
- I wish to apply for a Swim Teacher License on the terms and condition outlined in the Licensee Handbook,
- All information supplied is true and correct,
- I am the person outlined in this application and I am submitting this application on my own behalf,
- I authorise Royal Life Saving to very my information and link my Blue Card / Exemption Card to Royal Life Saving Society Queensland Inc.

Please be patient, this may takje a few minutes as your files are uploaded.

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