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- $295.00 REGULAR REGISTRATION $175.00 POOL PRIMER REGULAR REGISTRATION $200.00 CPO REFRESHER COURSE $50.00 RETESTING FEE $50.00 NEW CPO TEXTBOOK LIFEGUARD TRAINING COURSE $200.00 LIFEGUARD TRAINING $100.00 LIFEGUARD TRAINING REVIEW COURSE (DOES NOT INCLUDE TEXTBOOK) $50.00 CPR/FPR REVIEW WATER SAFETY INSTRUCTOR COURSE $250.00 REGULAR REGISTRATION TOTAL ENCLOSED: _______________ PLEASE MAKE CHECKS PAYABLE TO: THE POOL SCHOOL OR YOU CAN BE INVOICED THROUGH PAYPAL FOR A CREDIT CARD PAYMENT. (Please email registration and request for credit card invoice to allisonz@thepoolschool.net). RETURN REGISTRATION AND PAYMENT TO: The Pool School PO BOX 6703 Christiansburg, VA 24068