LIFEGUARD CERTIFICATIONS Ongoing

LIFEGUARD CERTIFICATIONS

REGISTRATION
Participant Full Name*

First NameLast Name
Parent Name (if Participant under age 18)

First NameLast Name
Participant Birth Date*

MonthDayYear
Date
Participant Age as of first day of class*
Participant Email*
example@example.com
Parent Email*
example@example.com
Participant/Parent Phone*

Area CodePhone Number
Participant Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Choose Your Class (Remaining OPEN classes)*

April 25, 2026 Re-CertMay 8-10, 2026 Full-CertMay 15-17, 2026 Full-Cert
Calculation
Note: A 3% processing fee will be added to every order

Total Order*

USDTotal

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country