Gordonsville Learn-to-Swim Program Summer 2013
For this program, we will need Water Safety Instructors, Swim Aides, and Dry Deck Volunteers. Please fill out this form and then contact the "Swim Lesson Coordinator" as described below. You can direct any questions to
Did you fill out the BH-JSL Application Form and obtain a Background Check
This is required to be a volunteer. Access this form at
No, but I will do this before I begin volunteering
Contact Phone Number
Cell phone, home phone
In what capacity will you be volunteering?
Certified Water Safety Instructor
Dry Deck Volunteer
Select your Shift (s)
Sign up for as many as possible! All lessons are held at the Gordonsville Pool
June 10- June 20 (M,T,W,Th) 9:15-11:00am
June 10-June 20 (M,T,W,Th) 5:15pm-6:45pm
July 1-July 11 (M,T,W,Th) 10:15-11:45am
July 1-July 11 (M,T,W,Th) 5:15pm-7:00pm
July 22-August 1 (M,T,W,Th) 9:15am-11:30am
July 22-August 1 (M,T,W,Th) 5:15pm-6:45pm
August 12-August 22 (M,T,W,Th) 5:15pm-7:00pm
Please describe any conflicts with the above schedule (if no conflicts please leave blank)
i.e. "I can't make it to the Tuesday classes"
IMPORTANT ***Swim Lesson Coordinator Contact Information***
You **MUST** contact the swim lesson manager to schedule your volunteering times. You should let them know:
1. Your interest in volunteering
2. Your previous swim lesson experience
3. If you've taken the Swim Aide Training Course
4. The dates and times you are interested in volunteering
Your contact person is: TBA.
I will contact "
" if I need to miss a class at least 48 hours before the start of the class
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