American Red Cross Pool & Bayfront Lifeguard Certification Program • 2024                                   (includes CPR for the Professional Rescuer)

COURSE FEES:

ALL FEES ARE COVERED FOR ALL SOUTHAMPTON HIGH SCHOOL STUDENTS and members of SVOR
(There is NO COST TO SH HS STUDENTS & SVOR for this course)

Fees for Non-Southampton High School Students & Non-SVOR members 
$200 
+ $10 for each swim session at Suffolk County Community College Pool
Email *
NAME
Your full (legal) name as you would like it to appear on your official certification
*
EMAIL *
CELL PHONE
*
BIRTHDAY
When is your birthday?

You need to be 15 year old by 5-18-2024 to attend this course. 
*
MEDICAL CONDITON(S) & MEDICATION(S)
Please let us know about any medical conditions or injuries that may affect you while you do this course. 

Are you required to take medication? If you carry medication with you, what medication is it and when do you take it? 
*
EMERGENCY CONTACT
Relationship & Phone Number
(If under 18 please make your parent the emergency contact)
*
SWIMMING ABILITY
You need to be able to swim 200 yards to take this course 
200 yards = 9 pool lengths 
(Please note: speed is not important

If you are not a proficient swimmer we will do our best to help to improve your stroke(s)

Can you swim 200 yards continuously using a mixture of crawl (freestyle) and breaststroke?

(check all that apply)
*
Required
EVALUATION & SWIM PREP

Location:

SUFFOLK COUNTY COMMUNITY COLLEGE POOL

121 Speonk Riverhead Rd, Riverhead

EVALUATION:
Everyone must pass the evaluation to take the Red Cross Lifeguard  course.

If you pass the evaluation you should not come to a second evaluation.

If you miss the evaluation please contact us to see if we can get you in at another time 
(631) 488-0474

SWIM PREP:
These sessions are designed to help you pass and/or to improve your swim strokes.

Swim Prep is optional once you pass the evaluation. 

(If your swim stokes are not up to par you will be required to attend one or all of the swim prep sessions for improvement)

ALL SOUTHAMPTON HIGH SCHOOL STUDENTS & SVOR MEMBERS ARE ENCOURAGED TO COME TO SWIM PREP SESSIONS

TRANSPORTATION
Transportation is NOT provided
(but we can try to coordinate you with someone else who is planning to come if you need a ride)


DATES & TIMES:
Check all the dates and times you plan to attend:
RED CROSS POOL & BAYFRONT LIFEGUARD COURSE:

BLENDED LEARNING: 
There is an online portion that will be emailed to you and must be completed prior to starting the classroom instruction.

CLASSROOM:
Location:

SOUTHAMPTON HIGH SCHOOL

141 Narrow Lane, Southampton 

CLASSROOM DATES & TIMES:

May 16 - 3:30PM-7:30PM

May 18 - 8:00AM-12:30PM

- 12:30PM-1:00PM - Lunch provided

CPR for the Professional Rescuer (Red Cross)

May 18 - 1:30PM-5:00PM 

Please note: you must attend all of the instructional classes


POOL:

The pool time portion is interspersed with supporting classroom instruction.  
*Pool is heated but the air is chilly, 3/2mm wetsuit recommended

Location:

SOUTHAMPTON BATH & TENNIS

212 Gin Lane, Southampton

POOL DATES & TIMES:

3:30PM - 6:30PM

Mon May 20

Tues May 21

Wed May 22

Thurs May 23

All classes will be rain or shine!

AVAILABILITY

Can you attend the Lifeguard Safety course (classroom), the CPR and the Pool Training?

Clear selection
SH HIGSCHOOL STUDENTS & SVOR MEMBERS
Clear selection
PLEASE NOTIFY US:
IF ANYTHING CHANGES IN YOUR SCHEDULE AND YOU DO NOT WANT TO TAKE THIS COURSE PLEASE
 EMAIL 
 SVOceanRescue@gmail.com

or 

CALL OF TEXT
(631) 488-0474
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy