Active Open 14yrs+ Membership Lifeguards who are patrolling but not competing. Active Open 14yrs+ Membership* Price: $ 80.00 Quantity: Please add quantity of memberships for paymentTotal $ 0.00 # of Members*123456Repeat the number of Members and complete details below# Members*1234Repeat the number of Members and complete details belowContact Details - Member 1Name* First Last Confirmation email to you* Enter your email in this box and we will send you a confirmation of your membership.Postal Address* Street Address Address Line 2 City ZIP / Postal Code Home/Mobile Phone*Mobile PhoneGender*FemaleMaleDate Of Birth* DD MM YYYY ICE - Emergency ContactRequired for all Junior members - recommended for all!Name* First Last Relationship to Member*ParentHusbandWifePartnerGrandparentFriendOtherHome Phone*Mobile PhoneContact Details - Member 2Email Name* First Last Home PhoneMobile PhoneGender*FemaleMaleDate Of Birth* DD MM YYYY Contact Details - Member 3Name* First Last Email Home PhoneMobile PhoneGender*FemaleMaleDate Of Birth* DD MM YYYY Contact Details - Member 4Name* First Last Email Home PhoneMobile PhoneGender*FemaleMaleDate Of Birth* DD MM YYYY Contact Details - Member 5Name* First Last Email Home PhoneMobile PhoneGender*FemaleMaleDate Of Birth* DD MM YYYY Contact Details - Member 6Name* First Last Email Home PhoneMobile PhoneGender*FemaleMaleDate Of Birth* DD MM YYYY CAPTCHAEmailThis field is for validation purposes and should be left unchanged.