Silver Salties Registration

Silver Salties is a participation program promoting physical activity and social connections for older Australians designed by Surf Life Saving Australia in conjunction with Surf Life Saving Clubs and funded by Sport Australia’s Move It Aus – Better Ageing Grants Program. Silver Salties is designed for older Australians, however people of all ages can participate.

Surf Life Saving Clubs can choose to deliver one or more of the Silver Salties programs on offer which include accessible, friendly, safe and fun activities at the park, clubhouse, beach, pool and in the surf. Clubs can choose Silver Salties programs to deliver that suit club capacity, setting and context, as well as participant interest. For more information about Silver Salties please visit the Silver Salties webpage. *Please note, the Silver Salties MULTI program was added in 2021 which can incorporate a mixture of programs within sessions or across the duration of a program. **Please note, additional programs have been added from January 2022 as well!

Please complete the details on this form to get a Silver Salties Program set up. A nominated person from your club will be provided with the opportunity to access training to be able to set up and manage programs on an ongoing basis. A member of the Silver Salties team will be in contact with you after you have completed this form.

Club Details

Club Name*

Branch Name

State*

Applicant Name*

Applicant Email*

Applicant Mobile*

Applicant Role at Club*

Club Endorsement

Has the Club Committee approved/endorsed Silver Salties to be by the club?

Club Endorsement*

Club President Name*

Club President Email*

Program Details

Please select a program that you would like to run. Note: you will need to complete a separate application form for each program that you intend on running.

Program*

Please indicate which Silver Salties program your club will be delivering? Please note, some 'new' programs have been added in the question below.

Or is it a "new" Silver Salties Program (included from Jan 2022)?

The programs listed in the Dropdown include 'new' Silver Salties program that were added to the eligible programs in January 2022

Please provide the name you would like to give to the program. The name does not have to match program you have selected e.g. Walk & Talk program could be call "Beach Walkers".

Program Name*

Please provide details or description of the program you will be running.

Program Details/Description

Program Start Date*

Program End Date*

Program Day/s*

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Program Time (e.g. 9am-10am)*

Program Capacity*

Please provide details of the person who will be leading this program. The person could be a coach, instructor, trainer or any suitable person.
Note: the person should hold suitable qualifications where applicable.

Program Leader Name*

Program Leader Email*

Program Leader Mobile*

Program Leader Membership Status*

Program Location Name*

Program Location Address*

The following participant information is required when registering for Silver Salties:

> First Name
> Last Name
> DOB
> Gender
> Mobile Number
> Email Address
> Postcode
> Emergency Contact Name
> Emergency Contact Mobile Number
> Medical Conditions

You can collect any additional information about participants during registration, please list any additional information you would like to collect.

Additional Program Information

Please attach any files you want to be included with the program information. This could be information about courses and training offered by the club, details on club membership or anything else.

File Upload

Choose file...

Max 5MB

All participants registering for a Silver Salties program are subject to the standard Participant Declaration. You can include club specific terms and conditions for any programs - please upload below.

Club Terms and Conditions

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Max 5MB

Do you have any questions About Silver Salties? Please outline below:

Silver Salties Questions

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