2021 Lifeguard Blended Learning Class Registration Form 2021 Lifeguard Registration Form Complete the form below to register for the 2021 Lifeguard Blended Learning Class at River Edge Swim Club. Name* First Last DOB* Date Format: MM slash DD slash YYYY Address* Street Address City State / Province / Region ZIP / Postal Code Home Phone*Cell Phone*Email* Enter yout Community Pass or Bond #*Please enter a number from 001 to 10000000.Members are require to enter either their Bond # or Community Pass # to verify their membership. Member must be current.Cost of Course*RESC Member - $350.00Non-Member - $375.00Click on either member or non-member to respond. If paying by check, please make check payable to "Cash"STATEMENT OF UNDERSTANDINGI hereby certify that the information on this form is correct and that I have read and fully understand all course requirements including; the blended learning portion, prerequisites, attendance, refund and cancellation notification as described below. By submitting this form you are either 18 years of age or older, or your parent/legal guardian has read and accepted these terms.Clicking on the Yes statement indicates that you may not agree with the Statement of understanding but that you have read it.* Yes, I have read the statement of understanding. CANCELLATION NOTIFICATIONIn case of inclement weather or other cancellations, we will contact the applicants and advise of the cancelled class/session and reschedule.CAPTCHA