Lifeguard Course Registration Form
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Email *
Please type your full name (First & Last) *
What is your school district? *
What is your date of birth (verifying that you are over 15 years of age) *
Please type your personal cell phone number *
Please type your home number for a parent *
Please type your home address (house #, street, town, & zip code) *
Please type your email non-school address to have your certificate sent to after the course is completed *
Which certification do you want to obtain? *
How much time you need to travel to get to SVHS for our class sessions? *
What time does your school day end? *
What is the best time for you?  Select all that apply *
Are you participating in a spring sport? Please select one of the choices below *
Are  you currently working at night or weekends? (check all that apply) *
What grade are you in? *
If you are a senior, what date is your prom? *
Please type any dates that you KNOW you ARE NOT available:
Please add any other important information regarding scheduling for our class sessions
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