2021 Bronze Medallion and Bronze Cross Lifesaving Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

* Available to pool members only

*Registration will be complete upon payment and submission of prerequisite photocopies (as indicated below)

Prerequisites

BRONZE MEDALLION:
(1) min. 13 yrs. old OR hold Bronze Star certification
(2) completed Red Cross Swim Kids 10, Olympic Way Silver, or equivalent
(3) must provide a photocopy of my certification card (Bronze Star) OR photocopy of my Medicare card/Gov’t ID as proof of age (to be provided at a later time)
(4) must pay the $60 course fee

BRONZE CROSS:
(1) Bronze Medallion
(2) must provide a photocopy of my Bronze Medallion certification card
(3) must pay the $60 course fee

Select course (5pm-7:30pm, Tuesdays, June 29 to August 24) *

Bronze Medallion

Bronze Cross

IMPORTANT NOTE FOR ALL BRONZE PARTICIPANTS:

Required course materials:
-Pocket Folder for printouts
-Pencil/Pen & Notebook for written notes
-Pocket Mask
-Canadian Lifesaving Manual (available through Beacon Hill Pool by selecting this option in the form and paying the additional $55 book fee)

Please note that 100% attendance is encouraged, and that students missing classes put themselves at risk of failure. The final class is mandatory.

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms