May 2024 Lifeguard Registration form MAY 2024 LG Course Registration form Name(Required) First Last DOB(Required) MM slash DD slash YYYY Address(Required) Street Address City State / Province / Region ZIP / Postal Code Cell Phone(Required)Home PhoneEmail(Required) Enter your Community Pass or Bond #Members are required to provide either their Community Pass or Bond number to verify their membership. Member must be current.Cost of Class(Required)Make check out to "CASH"Select oneRESC Member $350.00Non-Member $375.00Consent(Required)I hereby certify that the information on this form is correct and that I have read and fully understand all course requirements including; the blended learning portion, prerequisites, and attendance policy. In case of inclement weather or other cancellations, we will contact the applicants and advise of the cancelled class/session and reschedule. Payment will be required the first day of class along with certification of completion for the blended learning portion. Payment (Checks) are to be made out to "Cash". Failure to pass pretest will allow refund of full tuition fees. Failure or missing more then 2 classes will not allow a refund. By submitting this form you are either 18 years of age or older, or your parent/legal guardian has read and accepted these terms. Checking this box indicated that you read the statement above.CAPTCHA Δ
