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UK Registered Charity: 1042297 Branksome Chine Surf Life Saving

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New Membership Enquiry

If you would like to be considered for 2019 Membership please fill in the form below.

Our membership year begins on 1st January. Membership is open to all who will be aged 8 or over by the end of 2018, subject to a basic swim safety assessment.

Applicant Title (Mr, Miss etc)
Applicant First Name* (required)
Applicant Last Name* (required)
Date of Birth* (dd/mm/yyyy)
Your Name (if not the applicant):
Mobile/Phone* (required)
Email* (required)
Other Comments;