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Lifeguard Training Registration 2024
Participant's Name:
*
Participant's Email Address:
*
An email confirmation will be sent to this address.
Participant's Birth Date:
*
MM/DD/YYYY
Participant's Address:
*
City:
*
State:
*
Zip Code:
*
Participant's Phone Number:
*
Alternate Number:
How did you hear about this opportunity?:
*
Red Cross Website
AAC Member
Search Engine
Facebook
Instagram
Referral
School/Church
If you selected school, please indicate which school:
*
Emergency Contact Name:
*
Emergency Contact Relation:
*
Emergency Phone Number:
*
Alternate Phone Number:
Contact Address:
*
Course Date:
*
April 5-7
April 12-14
April 19-21
April 26-28
May 3-5
May 17-19
May 31-June 2
Session Options
Session 1: April 5-7
Friday, April 5 9:00am – 2:00pm
Saturday, April 6 9:00am-7:00pm
Sunday, April 7 9:00am-7:00pm
Session 2: April 12-14
Friday, April 12 4:30pm-7:30pm
Saturday, April 13 8:30am-7:30pm
Sunday, April 14 8:30am-7:30pm
Session 3: April 19-21
Friday, April 19 4:30pm-7:30pm
Saturday, April 20 8:30am-7:30pm
Sunday, April 21 8:30am-7:30pm
Session 4: April 26-28
Friday, April 19 4:30pm-7:30pm
Saturday, April 20 8:30am-7:30pm
Sunday, April 21 8:30am-7:30pm
Session 5: May 3-5
Friday, May 3 4:30pm-7:30pm
Saturday, May 4 8:30am-7:30pm
Sunday, May 5 8:30am-7:30pm
Session 6: May 17-19
Friday, May 17 5:00pm-8:00pm
Saturday, May 18 8:00am-7:00pm
Sunday, May 19 8:00am-7:00pm
Session 7: May 31- June 2
Friday, May 31 9:00am-2:00pm
Saturday, June 1 8:30am-6:30pm
Sunday, June 2 8:30am-6:30pm
*Minimum Age Requirement:
Participant
MUST
turn age
15
before the last scheduled day of class.