Lifeguard Recertification
American Red Cross Lifeguard Re-Certification Course. All participants MUST pass the American Red Cross Lifeguard Pre-Test which includes: 300 yard swim; treading water for 2 minutes w/o using arms; retrieving a weighted brick from approximately 10 feet of water and successfully resurfacing to swim on back. 

Class Dates:
Sunday 8/20 8am-6pm

*Lifeguard Course Cost - $225 (There is a $75 NON-REFUNDABLE tuition fee)  

* If there are not enough class participants this class will be postponed. You will be contacted prior to the start date if the class is canceled.   

*Please bring current valid Red Cross Certification upon arrival for the classroom portion of course.   

*If you cannot complete the American Red Cross Lifeguard Pre-test or if you do not successfully complete any portion of the class, no refunds will be given.
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Street Address *
City
State
Zip Code
Date of Birth *
MM
/
DD
/
YYYY
Phone Number
Email address
If under 18, name of Parent or Guardian *
Emergency Contact name *
Emergency Contact Phone number *
Does the student have any medical history/problems? (Asthma, Diabetes, Seizures, Other, Etc).
Does the student have any allergies?
Does the student have any allergies?
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report