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June 2024 BNL Lifeguard Class Sign Up
Please fill out the questions below to sign up for the class! If you have any questions please email us at jcunningham@lisafetytraining.com
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Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Phone Number
*
Your answer
If you are having someone drive you to and from the class please fill in their first and last name as well as their phone number. If you are driving yourself put n/a.
*
Your answer
Do you consent to having your image and likeness used on our social media platforms?
*
Yes
No
Would you like to receive updates about out training classes and swimming lessons through email?
*
Yes
No
How did you hear about the class
*
QR Code on Flyer
Red Cross Website
Other:
A copy of your responses will be emailed to the address you provided.
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