2019 Bronze Medallion and Bronze Cross Lifesaving Registration Form
* Available to pool members only
*Registration will be complete upon payment and submission of prerequisite photocopies (as indicated below)
Bronze Medallion Prerequisites:
(1) min. 13 yrs. old OR hold Bronze Star certification
(2) completed Red Cross Swim Kids 10, Olympic Way Silver, or equivalent
(3) must provide a photocopy of my certification card (Bronze Star) OR photocopy of my Medicare card/Gov’t ID as proof of age (to be provided at a later time)
(4) must pay the $55 course fee
Bronze Cross Prerequisites:
(1) Bronze Medallion
(2) must provide a photocopy of my Bronze Medallion certification card
(3) must pay the $55 course fee
Membership Family Name
Last Name (if different from Membership Family Name above)
Date of Birth
Full Address (including postal code)
YES (6pm-8:30pm, Tuesdays, June 25 to August 20)
YES (6pm-9:00pm, Tuesdays, June 25 to August 20)
Please check below if you like to order the Canadian Lifesaving Manual
YES, I would like to order the Canadian Lifesaving Manual and have added an additional $45 to my Bronze registration payment.
Please indicate your method of payment
PayPal (Pay safe and securely using PayPal. You do not require a PayPal account to use this service. Link available on our Membership Website page).
Interac e-Transfer - NEW!
Cheque (Payable to "Beacon Hill Pool")
IMPORTANT NOTE FOR BRONZE PARTICIPANTS:
Required Materials for the Bronze Medallion and Bronze Cross Courses:
-Pocket Folder for printouts
-Pencil/Pen & Notebook for written notes
-Pocket Mask (available at Diffusion Aquasport in Pointe-Claire – mention the summer pool discount)
-Canadian Lifesaving Manual (available through Beacon Hill Pool – an additional $45 fee. Indicate by checking off the box above)
Please note that 100% attendance is encouraged, and that students missing classes put themselves at risk of failure. The final class is mandatory.
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