Registration Form
Life Saving Society's Bronze Cross & Bronze Medallion - COMBO COURSE
June 30 - Online - 6:00pm - 9:30pm
July 5 - In person - 10:00am - 4:30pm
July 6 - In person - 10:00am - 4:30pm
July 6 - Online - 6:30pm - 9:30pm
July 7 - In Person - 10:00am - 6:30pm
July 8 - In Person - 10:00am - 6:30pm

$375.00 per candidate
Includes all course materials and certification costs. 

Prerequisites:  
      -13 years old by the last date of the course

In person portion takes place at the Neepawa Swimming Pool - 418 Davidson Street, Neepawa.
Sign in to Google to save your progress. Learn more
Candidate First Name: *
Candidate Last Name: *
Candidate Birthdate:  *
Email: *
Phone: *
Medical Numbers (6 digit, 9 digit) *
Emergency Contact Name: *
Emergency Contact Phone Number: *
Candidate is 13 years or older by July 8, 2024? *
Required
Payment Information:
Registration payment is due upon submitting this registration form.

Payments can be made in the following ways:
1. E-transfer to accounts@neepawa.ca - Include Name and Bronze Courses in Memo
2. Credit Card - by calling 204.476.7600
3. In Person at the Town Office 275 Hamilton Street, Neepawa MB
QUESTIONS? CALL 204.476.7614 or EMAIL recreation@neepawa.ca
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy