LIFEGUARD CHALLENGE REGISTRATION

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Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Cell Phone
Home Phone
E-mail
Emergency Contact
Emergency Phone
Medical Conditions

 

All participants must have a valid certification before registering.  If your CPR or Lifeguarding certification has expired, please call our office at 804-232-0225.

Choose one of the following options: 

CPR FOR THE PROFESSIONAL RESCUER CHALLENGE CLASSES

Cost: $55.00. Student will need to bring their own pocket mask or buy one at the class for $14.00.

March 29 2-5pm DA office
March 30 10-1pm United Methodist
April 13 10-1pm United Methodist
April 27 2-5pm DA office
May 19 6-9pm DA office
May 3   after Team Training-Forest Lakes North (charlottesville)
May 4   after Team Training-Twin Hickory (west end)
May 10   after Team Training-Five Forks (Southside)

LIFEGUARD CHALLENGE CLASSES includes recertification for Lifeguarding, First Aid , and CPR for the Professional Rescuer

Cost: $115.00. Student will need to bring their own pocket mask or buy one at the class for $14.00.

         Session A
March 30 10-6pm United Methodist
     
         Session B
April 13 10-6pm United Methodist
       

 Payment is due to Douglas Aquatics seven(7) days before the start of the course.  Please mail a check to our office at 1900 E. Belt Blvd, Richmond, VA 23224 or call us at 804-232-0225 to pay with credit card via the phone.

Thanks for your registration. We look forward to seeing you in class!