PLEASE SELECT THE DATE YOU WILL ATTEND THE PRACTICAL PORTION OF YOUR COURSE:
ARE YOU INTERESTED IN INCREASED TRAINING ONLINE PRIOR TO THE COURSE? (FULL REFRESHER OF CPR AND FIRST AID (NOTE: THIS COSTS $50 ADDITIONAL AND YOU WILL BE SENT A SEPARATE BILL)
WOULD YOU PREFER TO TAKE THE FULL DAY COURSE AGAIN? (NOTE: THIS COSTS $95 ADDITIONAL AND YOU WILL BE SENT A SEPARATE BILL
By checking,
I agree to hold harmless Carol Wright, Swimpro Lifesaving, and/or its employees from claims or liability related to any accident that may occur. I give my permission for medical treatment to be given if the need arises. I also acknowledge that I have read and agree to the Swimpro Lifesaving cancellation policy. I acknowledge that my entire course payment is non-refundable and that a change fee may apply if I change the date of my registration.
I certify that I am at least 18 years of age. If I am not, my parent/guardian has completed this form on my behalf.