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Course Enquiry Form
Request for Approval to
Conduct Training / Assessment Activity
Course
-- Select a Course --
Bronze Medallion
Bronze Medallion Proficiency
Surf Rescue Certificate
Surf Rescue Certificate Proficiency
Senior First Aid Full Course
Senior First Aid upgrade (for current Bronze holders)
CPR Full Course
CPR Update Course
Basic Life Support
Advanced Resuscitation
Defibrillation Training
Spinal Injury Management
Linked Units of Competency
-- Select a Unit of Competency --
PUAOHS001B Follow defined occupational health and safety policies and procedures
PUASR012A Apply surf awareness and self-rescue skills
PUAEME001A Provide emergency care
PUAOPE002A Operate communications systems and equipment
PUAOPE009A Participate in an aquatic rescue operation
PUATE001A Work in a team
PUATE004B Work effectively in a public safety organisation
PUAEME001A Provide emergency care
PUAEME003B Manage Injuries at an emergency
PUAEME003B Manage Injuries at an emergency incident
PUAEME001A Provide emergency care
PUAEME003B Administer oxygen in an emergency situation
PUAOPE010A Operate a semi automatic defibrillator in an emergency
Proposed Date of Course
Intended Number of Participants
ALANT Club/ Licensed Provider
Darwin SLSC
Mindil Beach SLSC
Gove Peninsula SLSC
Other
Trainer
Assesor
Trainers /Assessors
Supervisor
Venue
Darwin SLSC
Mindil Beach SLSC
Gove Peninsula SLSC
Little Bondi Beach
Casuarina Beach
Mindil Beach
Nightcliff Beach
Other
Yes
No
This activity will be conducted as
per the relevant ALANT Training Resource Kit
Person completing this form
Email Address:
Contact Phone Number:
02
03
04
06
08
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'Surf House' - 62 Aralia Street, Nightcliff, NT, 0810
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Phone (08) 8985 6588
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Fax (08) 8985 4737
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Email
surf@lifesavingnt.com.au