Registration/Waiver - 2019 SWFD Junior Lifeguard
Email address *
Please complete this Registration/Waiver Form: 1 per child
Applications will be processed in the order in which they are received.

These forms are timestamped.

This form is for:

1. Reserving a registration spot in the class, as it does NOT guarantee your child will qualify for participation;

2. Obtaining your expressed, informed consent to the terms & waivers for participation;

All other requirements set forth in the information packet must be met to complete registration.

Applicants must attend and pass one of the scheduled swim tests and pay for the class.

Once the class registration is filled per session, those who enter these forms will be put on the waiting list, moved into spots as they open up before & after the swim test dates, and up to the beginning of classes.

We recommend that you submit this form even if the registration is already full for the session you want most.

The first 30 registered applicants per session who pass their swim test and submit payment will become participants in the 2018 Junior Lifeguard Program.

TOTAL NUMBER OF CHILDREN YOU WISH TO ENROLL: Though you need to fill out a separate form for each Child, pricing is included here for total number you wish to enroll. $200 for one, $185 each additional. If you fill out another form for an additional child , please select additional child in the choices below. *
Child's Name (Last, First) *
Your answer
Date of Birth
Age as of June 1, 2019 *
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