Your Details

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

Your title: —Please choose an option—MrMrsMissMsDrOther

Your name:

Your email:

Telephone Number:

Did you do your Swim Teacher Course with Royal Life Saving Queensland?
—Please choose an option—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.
—Please choose an option—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.
—Please choose an option—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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