Zador Aquatics Management, LLC Lifeguard Class Registration Form

Zador Aquatics Management, LLC Lifeguard Class Registration Form
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Date of Birth*

MonthDayYear
Date
Which class are you interested in?*

LifeGuard Certification (Non Ripon Aquatics Member $300)LifeGuard Certification ( CURRENT Ripon Aquatics Member $250)Recertification LifeGuard (Non Ripon Aquatics Member $250)Recertification LifeGuard (CURRENT Ripon Aquatics Member $210)First Aid/CPR/AED Certification ($150)Recertification First Aid/CPR/AED ($115)In-Water Safety for swim coaches Certification ($120)Recertification In-Water Safety for swim coaches ($80)Waterfront Certificate (only valid in combination with active lifeguard cert) ($125)
First Aid/CPR/AED Class info:

Please call Ripon Aquatics to set up class 209-221-5209
Lifeguard Class Dates: Please pay attention to dates!!*

Lifeguard RECERT (current certification cannot be more than 30 days expired) no online portion required just in person class. IN CLASS May 31st 10am-2pm)First aid/CPR/AED NEW training May 30th 8am-1pm / this is a blended learning course which means that first portion of the class will be done online.NEW lifeguard cert (J. Miller)
Disclaimer
*
prevnext( X )
Ripon Aquatics Certification$300.00

Quantity

Service Fee$5.00
Service Fee

Total $0.00

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Disclaimer