Complete the form to nominate a Fallen Lifesaver you think should be included in the memorial.
Privacy & personal information protection notice
The purpose of collection of this information is to enable Council to process your request. We will not be able to process your request if you do not provide the information. This form will be stored electronically in Council's electronic document management system. Access to this information is restricted to Randwick City Council officers, Surf Life Saving NSW, Flash Media and Council contractors. Members of the public will not be provided with access to the personal details contained on this form.
