Register for Lifeguard Training

Let's find your course.
Which course are you looking for? *

Lifeguard Certification (age 15 and up) Junior Lifeguard Certification (age 14 and below)
Which course type? *

Public course (up to 12 participants) Private Course (one-on-one instruction)
Are you a new or renewing lifeguard? *

New Renewing
Where is your current certification from? *

EUVORI aquatics Somewhere else
Upload a copy of your current StarGuard certification *

Cancel of

Event Coordinator Information.
First Name *
Last Name *
Phone Number *
Email *
example@example.com
Date, time, and location.

Please schedule 16 hours of training. Course times will likely be shorter, but we like to over-schedule rather than under-schedule.
Training Day 1 *

Month Day Year
Date
Time *

Hour Minutes

AM/PM Option

to
until
Hour Minutes

AM/PM Option
Training Day 2 *

Month Day Year
Date
Time *

Hour Minutes

AM/PM Option

to
until
Hour Minutes

AM/PM Option
Check this box to add another day of training
Training Day 3 *

Month Day Year
Date
Time *

Hour Minutes

AM/PM Option

to
until
Hour Minutes

AM/PM Option
Training Location *
Custom Address *
Mileage fee ($2.00 per mile) *
Where should the instructor and participants go when they arrive? *
Additional notes for the instructor:

Equipment add-ons.

Some employers elect to give their employees all the lifeguarding essentials, such as a hip pack, whistle, or CPR barrier mask. Others don't. Either way, your employer will likely expect you to have each piece of equipment, and it could even be required by law.
Optional rescue equipment

Red "Certified Lifeguard" Hip Pack (+$12.00) CPR Barrier Mask (+$12.00) Fox40 Ultra-Loud Whistle & Lanyard (+$8.00)

Who will be attending the course?

List the info below as you want it shown on your certification document.
Last Name *
Middle Name
First Name *
Participant's Email *
example@example.com
Participant's Phone Number *
Date of Birth *

Month Day Year
How many participants will be joining? *

Participant Information *

Last Name

Middle Name

First Name

Email Address

Phone Number

Emergency Contact Information.

We will only contact the individual below in the event of an emergency during the course.
Name *

First Name Last Name
Phone Number *

Release of liability.

Please read before signing. Participants 18 and older may sign for themselves; participants 17 or younger must have a parent or guardian's signature.
In consideration of being allowed to participate in any way in the EUVORI LLC (“EUVORI”) Training & Certification programs, I, {printedName}, the undersigned, acknowledge, appreciate, and agree for {firstName}:
1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,
3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the Company immediately; and,
4. I, for myself and on behalf of my heirs, assigns, personal representatives, and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS EUVORI LLC, their of officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used for the activity (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
FOR PARENTS or GUARDIANS of PARTICIPANTS of MINORITY AGE

This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES to the fullest extent permitted by law.

In the event of a medical emergency, the undersigned Parent(s)/Guardian(s) of the above-named participant(s), hereby grants authorization to EUVORI LLC (“EUVORI”), and its representatives, to employ any legally licensed physician or health care facility on behalf of each of the undersigned, and to direct and/or order emergency medical treatment for the above-named participant(s). Each of the undersigned further agrees that neither EUVORI nor any of its representatives shall be liable under any circumstances to anyone for exercising the foregoing authority in the event of an emergency.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
e-Signature *

Signature of participant 18 years of age or older, else legal parent or guardian Clear
Printed Name *
Date *

Month Day Year
Date

Billing information.
Training Fees *
Training Fees *
Add-Ons & Extras
Tax
Mileage Fees
Subtotal *
Coupon Code (optional):
Your Savings:
TOTAL *
Pay by *

Credit or Debit Card Invoice (for businesses with credit accounts only)

Business or Account Name *
Don't have a Business Account?

Please don't submit this form until you create a Business Credit Account through us. You can do so by visiting euvori.com/credit.
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Card Information
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Credit Card Number	Security Code
Expiration Date	Billing Zip Code