Lifeguarding Class Registration "*" indicates required fields Step 1 of 2 50% Parent / Guardian InformationParent/Guardian Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*Student's InformationName* First Last Date of Birth* MM slash DD slash YYYY Email Phone Class SelectionClass They Are Enrolling In*please select a classNew Lifeguard CertificationLifeguard RecertificationWaterfront ModuleSubtotal $0.00 Payment InformationTo receive the 10% Member Discount please make sure you are signed in to your member account.Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name HiddenAccount TypesClosedMembershipOffered MembershipTest AdminWaitlistDiscount $0.00 Credit Card Fee $0.00 Total CAPTCHA