Accommodation - Request To Supervise

Please use this form to book in overnight at the Portsea SLSC Clubhouse.

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This field is for validation purposes and should be left unchanged.

Name(Required)

Email(Required)

Mobile(Required)

Members you will be supervising(Required)

Dates you would like to supervise for(Required)

I am a current patrolling member(Required)

Yes

I hold a drivers license and I will have a car available to use(Required)

Yes

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