Lifeguard Training – Courthouse Employees

Employee Forms > Lifeguard Training

This is a secure form. If you have any questions please call or text Jeni at 503-507-9826.

Employee's Name*
First Last
Gender*
- Male
- Female
Email*
Certification*
- First Time - $175
- Renewing Certification - $100
- Already certified
First Time Certification Class Dates:
6/7-6/9
Friday - 4-8PM
Saturday-Sunday - 7-5PM
Choose Class Date*
Renewal Certification Class Dates:
5/19: 12PM-4PM
6/9: 12PM-4PM
Choose Class Date*
Work Location*
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Uniform Top Option*
All guards will receive 1 uniform top and 1 Sweatshirt.
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Uniform Top Size
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Sweatshirt Size
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Additional Uniform Order
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Total
$0.00
Credit Card*

Discover
MasterCard
Visa
Supported Credit Cards: Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Address*
Street Address City State ZIP Code