2021 Lifeguard Blended Learning Class Registration Form

Complete the form below to register for the 2021 Lifeguard Blended Learning Class at River Edge Swim Club.

Name*

First Last

DOB*

Address*

Street Address City State / Province / Region ZIP / Postal Code

Home Phone*

Cell Phone*

Email*

Enter your 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 - $350.00
Non-Member - $375.00

Click on either member or non-member to respond. If paying by check, please make check payable to "Cash"

STATEMENT OF UNDERSTANDING

I 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 NOTIFICATION

In case of inclement weather or other cancellations, we will contact the applicants and advise of the cancelled class/session and reschedule.

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2021 Lifeguard Registration Form

STATEMENT OF UNDERSTANDING

CANCELLATION NOTIFICATION