Clone of NJPMA Lifeguard Management In-Person Course

NJPMA WSI Course 2026

Please complete the form below. Registration is not complete until the course fee is paid in full. Payment may be made by check on the first night of the course or by credit card. If paying by credit card, you will receive an invoice from Intuit via NJPMA. Please note that a service fee will apply to credit card payments.

REGISTRATION and TUITION INFORMATION: THIS COURSE MAY BE TAUGHT IN A HYBRID FORMAT (IN-PERSON AND ONLINE)

This intensive 10-session, 2-1/2-week course for Water Safety Instructor candidates is by advanced registration only. To participate, registration forms and course tuition of $250 for members and $300 for non–members must be received by Al Taliaferro on or before Wednesday, May 21st, 2025. Any registration after the 21st will incur a $25.00 late fee. Tuition includes all materials. You can check whether your facility is a member on the www.njpma.org website.

PREREQUISITES: Candidates must be at least 15 as of June 17th, 2026. NO EXCEPTIONS CAN BE MADE. Candidates must possess swimming skills of "Level IV". Proof of age must be presented at the Orientation session. A current driver’s license is acceptable proof. Photocopies of Birth Certificates are acceptable. In addition, candidates must successfully complete an online module

before attending each class session and pass a pre-course swimming test.. The swimming skills to be tested are listed on the back of this form. Once registered, students will have access to all materials (including online modules).

SCREENING INFORMATION: All candidates must pass a pre-course swimming test before being admitted into the course. This will

take place on May 28th and test swimming skills mastery. Refunds (minus $75.00 in administration and materials costs) will be mailed only to candidates who do not pass the swimming pre-test. There will be NO REFUNDS for candidates who drop out after

May 28th. Course materials will be distributed after the successful completion of the pre-test.

DATES AND TIMES: THIS COURSE MAY BE TAUGHT IN A HYBRID FORMAT (IN-PERSON AND ONLINE)

Orientation and Pre-course ZOOM meeting Wednesday, May 20th 7:00 pm - 8:30 pm

June 1 – June 4	Monday through Thursday	5:30 pm - 8:30 pm
June 8 – June 11	Monday through Thursday	5:30 pm - 8:30 pm
June 15 & June 17	Monday & Tuesday	5:30 pm - 8:30 pm

IN-PERSON Location RIVER EDGE SWIM CLUB, 600 RIVERSIDE WAY, RIVER EDGE NJ 07661

Full Name*

First NameLast Name
Address*

Street Address

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Registration Fee *
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NJPMA Member $250.00
Proof of membership must be presented if requested

Non-Member$300.00

Total $0.00
Payment Options*

Pay by check the first nightPay by Credit Card, via Intuit invoice. Please keep in mind there will be a service fee associated with Credit card use.
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NJPMA WSI Course 2026