American Red Cross Lifeguard Training Registration Form

Full Name*

First NameLast Name

Parent/Legal Guardian (Minor only)

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Class Selection

Participants Phone Number*

Parent/Legal Guardian Phone Number*

Participants E-mail*

example@example.com

How did you hear about us?*

Participant Signature

Parent/Legal Guardian (Minor only)

Will you be willing to recommend us?

YesMaybeNo

*Carrasco Aquatics policy states that once the participant has registered for this class a refund will not be issued. Participant is registered in The American Red Cross system and instructor is charged.

*Classes will be held at Victoria Country Club

*Participants will need a change of clothes, towel, water, and a snack

*All participants must be 15 years old by the first day of class

*First day class a parent/legal guardian must be present for participants under the age of 18

*Prerequisite swim will take place on first day of class

*Must attend all scheduled meeting times to receive certification

*Class size is a minimum of 4 participants and a maximum of 12 per class

*We kindly request that parents do not stay for the duration of the course

*Class times may very - in some cases we may go over our scheudled time

Classes*

Lifeguard CertificationAmerican Red Cross Lifeguard certification training | $220 | 2 year certification lifeguarding, CPR/First Aid/AED. $3.00 credit card convince fee applied

$220.00

Enter coupon

Total

$0.00

Credit Card

Other*