Lifeguard Certification Registration

Course Certification:

Monday, June 12, 12:00pm-4:00pm

Tuesday, June 13, 12:00pm-4:00pm

Wednesday, June 14, 12:00pm-4:00pm

Thursday, June 15, 12:00pm-4:00pm

Friday, June 16, 12:00pm-4:00pm

Recertification dates:

June 12 & 13

Location:
Calhoun Aquatic Center

Must be 15 years or older.

Pre-registration is required.

Pricing:
$175.00 certification
$95 recertification

Registration Details
*This information is required
Registration Type*
- Initial Certification (must be 15 years or older)
- Recertification
Initial Certification*
Price:
Recertification*
Price:
Participant Details
Participant's Name*
First Last
Participant's Age*
Participant's Date of Birth*
Participant's Email*
Participant's Phone*
Participant's Address*
Street Address Address Line 2 City State ZIP Code
Parent / Guardian's Details
Parent / Guardian's Name*
First Last
Parent / Guardian's Email*
Parent / Guardian's Phone*
Waiver & Signature
Waiver*
I /we agree to indemnify, defend and save harmless The Calhoun City Schools, its elected and appointed officials, officers, employees, agents and volunteers (to include all employees, agents and volunteers of the Calhoun City School System and Calhoun Aquatic Center from any and all claims arising from my/our child’s participation in any sports activity and related activity conducted under the control of the Calhoun City Schools Community Education Department. Such indemnification shall include, but not be limited to, liability settlements, damage awards, costs and attorney’s fees associated with any such claim. Unless the session is cancelled, no refunds will be offered.

I have read or have had read to me the foregoing in its entirety and by placing my signature below do declare that I understand that any cost or injury resulting from participation is my responsibility.
- I Agree to the Waiver
Signature*
Date*
MM slash DD slash YYYY
Billing Details
*This information is required
Billing Address*
Street Address Address Line 2 City State ZIP Code
Secure Credit Card

Card Holder*

Card Number*

Card Expiration*

Card CVV*
Convenience Fee
$0.00
Total
$0.00
hCaptcha*

Lifeguard Certification Registration

Registration Details

Participant Details

Parent / Guardian's Details

Waiver & Signature

Billing Details