Cedardale Health & Fitness Lifeguard Recertification

Lifeguard Recertification Registration

Please complete the registration form below to register for the Cedardale Lifeguard Training Recertification Course. If you have an account with Cedardale we will process your registration with your current card on file. If you do not have an account with Cedardale we will contact you shortly by phone to gather your form of payment and complete your registration.

First Name

Last Name

Address 1

City

State

Postal Code

Cell Phone

Email Address

Date of Birth

Enter American Red Cross Lifeguard Certification Expiration Date

Under Age 18? (If yes please complete emergency contact information below)

Yes

Emergency Contact Name

Emergency Contact Cell Phone

Emergency Contact Relation

Course Attending

Dec 16th - Dec 17th 3:30 - 7:30 pm

If you have a Cedardale account may we charge your card on file?

Yes

Full payment is required at time of registration. We will contact you if the class is full and we can not accommodate your registration. Cedardale reserves the right to use photos taken during lessons or programs for promotional purposes. A writtne request to the Aquatic Director must be submitted if you do not want your photo to be used. By submitting this registration you agree to the above terms.

* Bold Fields are Required