Lifeguard Certification Course - Dec 2020
Please fill out the following form regarding the upcoming American Red Cross Lifeguard Certification Course on Dec 11th, 12th, 13th.
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Email *
**CURRENTLY THIS CLASS IS WAITLISTED. WITH THE INEVITABLE CHANGES WITH COVID-19, JANESSA HENNING WILL BE IN CONTACT WITH YOU CLOSER TO THE ACTUAL DATES OF THE CLASS TO LET YOU KNOW IF THERE IS AN OPENING AT THAT TIME. THANK YOU FOR UNDERSTANDING. *
The American Red Cross requires you (participant) to use an email that is not associated with a work or school account. Please provide an email address that you also check that you want registered with the American Red Cross (Yahoo, Gmail, etc): *
Participant First Name *
Participant Last Name *
Participant Birthdate *
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Participant Grade Level (must be 15 years old on last day of certification class) *
Participant Phone Number *
Participant Email Address (Please list the email that will be checked daily by the participant.) *
Parent/Guardian Name *
Parent/Guardian Phone Number *
Parent/Guardian Email Address *
Participant is prepared to demonstrate required pre-requisite swim tests which include (1) Swim 300 yards continuously demonstrating breath control and rhythmic breathing. Candidates may swim using the front crawl, breaststroke or a combination of both but swimming on the back or side is not allowed. Swim goggles may be used, (2) Tread water for 2 minutes using only the legs. Candidates should place their hands under the armpits, (3) Complete a timed event within 1 minute, 40 seconds. (a) Starting in the water, swim 20 yards. The face may be in or out of the water. Swim goggles are not allowed, then (b) Surface dive, feet-first or head-first, to a depth of 10 feet to retrieve a 10-pound object, then (c) Return to the surface and swim 20 yards on the back to return to the starting point with both hands holding the object and keeping the face at or near the surface so they are able to get a breath. Candidates should not swim the distance under water, finally (d) Exit the water without using a ladder or steps. *
Required
Does participant require any special accommodations for this class? *
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