$265.00 + $38 Mandatory American Red Cross Certification Fee + $20 WML Registration Fee Sunday, November 15, 2020 - Saw Mill Club East 11:00AM to 8:00PM Take this class every 2 years to remain certified as a LG. Must take this class within 30 days of expiration or before you expire. If your certification expired between January 2020 and May 2020, you are still eligible to take this class as the American Red Cross extended the certification expiration. Class size will be limited to only 8 students to comply with social distancing guidelines.Class cost*Mandatory American Red Cross Certification Fee*WML Registration Fee*Student Name* First Last Student Date of Birth* Date Format: MM slash DD slash YYYY Student Phone (and Parent-if under 18)*Student Email ( and Parent-if under 18)* Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Current Certifications Lifeguard Lifeguard Instructor Water Safety Instructor Waterfront Lifeguard Waterpark Lifeguard Emergency Contact InfoHow did you hear about us?Do you have any special needs or accommodations?Reminders Please remember to bring a laptop computer, bathing suit, a bagged lunch and towels. Please brush up on your swimming skills and refer to the web page for the class you are registering to take and review the pre-course testing skills. If you are registering for a Review class please make sure your LG cert is current and not expired. Terms & Conditions A refund will not be given to anyone who fails pre-course testing or the class. A processing fee of 10% will be taken out of all refunds. Cancellation with a full refund of all fees is possible up to 48 hours before the class. Coupon Total $0.00 Credit Card Card Details Cardholder Name By submitting this form, you agree to the following: I am 18 years of age or I am the parent or guardian of a minor taking the class. I hereby acknowledge that any training or demonstration or participation in program may involve certain risks to any participant including, without limitation, injury to person or to personal property. I fully understand these risks and voluntarily wish to have self / minor take the classes indicated above. In consideration of self / minor being permitted to participate in class, I hereby agree to assume all the risks and responsibilities surrounding such participation, including, without limitation, those of injury to person or personal property; and further, for self / minor, my heirs, personal representatives, and assignees. I hereby agree to defend, hold harmless, indemnify, release forever, and forever discharge WML Aquatics and all their trustees, officers, agents, contractors, and employees from and against any and all threatened and imposed claims, demands, and actions or causes of action, on account of damage to personal property, or personal injury which may result from the aforesaid participation and activities incident thereto. Further, it is hereby certified that the above-named participant has no medical or psychological conditions which would preclude such participation. I hereby authorize WML Aquatics through its authorized agents to secure for self / minor any emergency medical treatment that becomes or that may become necessary as a result of participation in class. I acknowledge I have read and understand this information. Special Covid-19 Information The safety and well-being of WML Aquatics students and instructors are of paramount importance and concern to us. Accordingly, each student and instructor is required before coming to each class to confirm as follows: He/she has neither (a) tested positive for COVID-19 in the preceding 14 days nor (b) been in close contact with someone who has tested positive for COVID-19 in the preceding 14 days; and He/she is not experiencing any of the following symptoms of COVID-19: Cough Fever or chills Shortness of breath or difficulty breathing Fatigue Muscle or body aches Headache New loss of taste or smell Sore throat Congestion or runny nose Nausea or vomiting Diarrhea If any symptoms have been present within the preceding 24 hours or are manifest within 14 days afterward, that student or instructor will not be permitted to attend class and must immediately notify Laura Thompson at 914-918-4634. WML Aquatics will conduct classes in the manner prescribed by the American Red Cross, which has provided guidelines for proper hygiene and, wherever possible, social-distancing. Each student will be provided with the use of his or her own manikin and AED equipment for instruction. Instructors will be required to properly decontaminate all equipment between classes. However, the American Red Cross has stipulated that lifeguard training and instructor training cannot be conducted entirely with social-distancing, as would be obvious in any rescue-training scenario or instruction involving multiple students. Nevertheless, the New York State Department of Health has recognized that lifeguard training is vital to the safety of bathers in the state and has specifically authorized training to be conducted even though social-distancing is not always possible. BY REGISTERING FOR CLASSES WITH WML AQUATICS, YOU ARE ACCORDINGLY ACKNOWLEDGING THAT INSTRUCTION MAY INVOLVE CLOSE CONTACT WITH OTHERS WHO MAY BE INFECTED WITH COVID-19, AND YOU RELEASE AND DISCHARGE WML AQUATICS AND ITS OWNERS, PRINCIPALS, EMPLOYEES AND AGENTS FROM ALL COVID-19-RELATED LIABILITY, CLAIMS, DAMAGES OR EXPENSES THAT MAY ARISE OR RESULT FROM MY PARTICIPATION IN ANY WML AQUATICS PROGRAMS OR ACTIVITIES. Privacy Policy Your information will not be shared with ANYONE including 3rd parties.
