Lifeguard Class Registration - Water Safety Patrol

What To Expect:

Must be a strong swimmer. Prerequisite tests are given on day 1 before actual class begins.
Prerequisite tests include:
- Swim-Tread-Swim Test (swim 350 yards, stop and treat 2 minutes without hands, continue and swim 200 yards to finish
- 10lb Brick Test
- Underwater Diving Rings Test
Must attend all scheduled days and times of class
Must be willing to study and prepare outside of class for testing day
Must be comfortable with close contact with other students in water
Testing Day includes: Multiple Choice Written Test (50 Questions)(must pass with 80%), CPR testing with manikan, water testing using various skills when given scenarios
Strong emphasis on working as a team

"*" indicates required fields

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Date of Birth*

Email*

Phone*

Parent/Guardian Signature Required if Under 18

I (the undersigned) authorize the above named individual (the participant) to participate in the Geneva Lake Water Safety Patrol Lifeguard Class. I assume all risks and hold harmless the Geneva Lake Water Safety Patrol and all its instructors and employees in the event of an accident or injury.

Signature of parent or authorized adult

Please list any medical conditions or concerns:

Emergency Contact Name*

Emergency Contact Phone*