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Lifeguarding Registration
Contact info:
(320)-266-5733
Education4AllMN@yahoo.com
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* Indicates required question
Date:
*
MM
/
DD
/
YYYY
Name (First & Last)
*
Your answer
Best Contact Phone Number
*
Your answer
Best contact Email
*
Your answer
Location (ie: Parkers Prairie, Brainerd/Baxter)
*
Your answer
Type of Lifeguard Certificate
*
Shalow Water
Deep Water
Add ons
*
Beach Front
Water Park
Asthma
EpiPen
Blood Born Pathogens
Wilderness First-Aid
Non of the above
Required
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