RECERTS
Registration Form: Intermediate FA: September 13, 2026. NL: September 20, 2026.
Name
*
First Name
Last Name
Age
*
Date of Birth:
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Any additional Information
Please select:
*
Intermediate First Aid (8:00 AM - 12:00 PM& 1:00-5:00 PM)
National Lifeguard (8 AM - 12:00 PM)
Submit
Payment:
*
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Intermediate First Aid Recert
$80.00 CAD
$
80.00
CAD
Quantity
1
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7
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9
10
National Lifeguart Recert
$80.00 CAD
$
80.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
Should be Empty: