Lifeguard Course Registration Form
This course takes place on:
April 16th 9-4 pm
April 23th 9 am- 4 pm

Registration closes on April 6th. Limited space available!

The link to the online portion of the class will be emailed to you on April 1st or when you register if after April 1st.

Lifeguard Course Requirements:
•Must be 15 years old by the end of the course
•On-Line Pre Course Work that must be completed prior to class 

In-Person Day 1:
•Must be able to swim 300 yards: 100 Freestyle/100 Breaststroke/100 Free or Breast
•Tread water for 2 minutes, no hands
•20 Yard Brick Swim: Dive 7-10 feet deep for 10 lb. brick and swim 20 yards
•To receive certification participants must meet the course requirements, attend all sessions and pass all skills and written exams
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Participants Name *
Date of Birth *
Email *
Refund Policy
I understand that if I am unable to complete the prerequisite skills for any reason I will not be allowed to continue to participate in the Lifeguarding Certification Course.  If in the event I am unable to complete the prerequisite skills or decide by the end of day one to drop the course, students will receive a full refund of course registration fees.
Please check the box to acknowledge that you have read and accept the refund policy.
Waiver and Release
I hereby unconditionally release the Board of Education of the Victor Central School District and all of its employees, officers, agents and assigns (hereinafter the “District”) from any and all responsibility or liability for any injuries which may be sustained by me in relation to participation in any of the District programs or activities.  I further waive any and all causes of action in law or in equity relative to such injuries.  I acknowledge and voluntarily assume on my behalf any and all risks incident to such participation in programs or activities provided by the District.  I acknowledge that I do not suffer from any physical impairments which prevent engaging in activities provided by the District.  I unconditionally release the District from any and all liability for injuries.  I further release and hold harmless the District for any medical arrangements or care provided to me.
Please have a parent or guardian type their name to acknowledge that they have read and accept the waiver and release. *
$200 Payment
Payment is due at the first class.
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