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AQUATIC REGISTRATION FORM
REGISTER EARLY to secure your space in the class.
All registrations must be received at least 2 weeks prior to the class dates.
COURSE: ___CPO COURSE ___LIFEGUARD TRAINING ___WSI COURSE
COURSE DATE:_______________________
NAME:_______________________________
LOCAL ADDRESS:____________________________________
__________________________________________________
PHONE NUMBER:_______________________
EMAIL ADDRESS: ______________________
TUITION INFORMATION:
CPO COURSE-
$275.00 REGULAR REGISTRATION
$150.00 POOL PRIMER REGULAR REGISTRATION
$175.00 CPO REFRESHER COURSE
$40.00 RETESTING FEE
$50.00 NEW CPO TEXTBOOK
LIFEGUARD TRAINING COURSE
$175.00 LIFEGUARD TRAINING
$75.00 LIFEGUARD TRAINING REVIEW COURSE
(DOES NOT INCLUDE TEXTBOOK)
$40.00 CPR/FPR REVIEW
WATER SAFETY INSTRUCTOR COURSE
$200.00 REGULAR REGISTRATION
TOTAL ENCLOSED: _______________
PLEASE MAKE CHECKS PAYABLE TO: THE POOL SCHOOL
RETURN REGISTRATION AND PAYMENT TO:
The Pool School
PO BOX 6703
Christiansburg, VA 24068
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