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Lifeguarding Class Interest Form
Leave us your info to be contacted when we will be hosting Lifeguarding certification classes.
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Email
*
Your email
Participant Last Name
*
Your answer
Participant First Name
*
Your answer
Participant Age
*
NOTE: Lifeguarding Class participants must show valid ID and be 15 years of age or older on the last day of class. If you are interested in employment at Splash!, note also that the state of Wisconsin requires swim instructors to be 16 years of age, even if they are certified Lifeguards.
If a participant is younger than 15, we'd be happy to record your info and contact you in the future!
Your answer
Participant Lifeguard Certification Status
*
Currently certified, interested in re-cert. class
Formerly certified but expired, full class
First time Lifeguard, full class
Certified with another organization (not Red Cross), crossover cert.
Other:
When
*
Fall 2025
Winter 2026
Spring 2026
Summer 2026
Fall 2026
Other:
Required
Contact Name (if different from Participant)
Your answer
Phone number
Your answer
Anything else you would like us to know:
Your answer
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