Course Registration Form

Lifeguard/CPR Course Registration Form

Fill out the form carefully for registration. (Content for Lifeguarding Course will be emailed to you to study online prior to course date). EMAIL ALLISON.COLLINS@ARCHAMENITY.COM TO FIND OUT HOW TO EARN A FREE LIFEGUARDING COURSE!!!
Lifeguard Course Prerequisites *Swim 300 yards breaststroke/freestyle continuously *Tread water for 2 minutes using only legs *Retrieve and swim on back with 10-pound object from depth of 7-12 feet (timed)

MUST BE 15 YEARS OR OLDER BY THE LAST DAY OF THE COURSE!!!
Student Name*

First NameMiddle NameLast Name
Birth Date*

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Address*

Street Address

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Postal / Zip Code
If still in school, what school do you attend?
Student Preferred E-mail*
example@example.com
Mobile Number*

Area CodePhone Number
How did you hear about us? Select all that apply.*

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Name of School
Course*
Please upload your expiring Lifeguard Certificate.*

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Course Location*
The courses will be held at the Kinnelon Sport and Fitness Center in Butler, NJ, Brooklyn Sports Club, Memorial Park in Butler, NJ, Lyndhurst, NJ, and The Renaissance at Raritan Valley in Somerset, NJ.
Somerset, NJ LG Course Date
Course times are from 8 am to 6 pm on a Saturday and Sunday.
Somerset, NJ LG Recert/CPR Course Date
Course times are from 8 am to 6 pm for LG Recerts/ 8 am to 12 pm for CPR on a Saturday.
Butler, NJ LG Course Date
Course times are from 8 am to 6 pm on a Saturday and Sunday.
Butler, NJ LG Recert/CPR Course Date
Course times are from 8 am to 6 pm for LG Recerts/ 8 am to 12 pm for CPR on a Saturday.
Lyndhurst, NJ LG Course Date
Course times are from 12 pm to 10 pm on a Saturday and Sunday.
Lyndhurst, NJ LG Recert/CPR Course Date
Course times are from 12 pm to 10 pm for LG Recerts/ 3 pm to 7 pm for CPR on a Saturday.
Spring Valley, NY LG Course Date
Course times are from 8 am to 6 pm on a Saturday and Sunday.
Spring Valley, NY LG Recert/CPR Course Date
Course times are from 8 am to 6 pm for LG Recerts/ 8 am to 12 pm for CPR on a Saturday.
Brooklyn, NY LG Course Date
Course times are from 8 am to 6 pm on a Saturday and Sunday.
Brooklyn, NY LG Recert/CPR Course Date
Course times are from 8 am to 6 pm for LG Recerts/ 8 am to 12 pm for CPR on a Saturday.
If these dates don't work for you, what date will you be available to take the course?

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Lifeguard/CPR Course Registration Form

Lifeguard Course Prerequisites *Swim 300 yards breaststroke/freestyle continuously *Tread water for 2 minutes using only legs *Retrieve and swim on back with 10-pound object from depth of 7-12 feet (timed)

Lifeguard Course Prerequisites Swim 300 yards breaststroke/freestyle continuously Tread water for 2 minutes using only legs *Retrieve and swim on back with 10-pound object from depth of 7-12 feet (timed)