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Fill in this form to apply for your lifeguard training

Please enter your details into the form below and click submit to make a booking, and we will contact you to request payment of £275.

Dates of Course:
Name:
Address Line 1:
Address Line 2:
Town/City:
County:
Post Code:
Phone:
Email Address:
Date of Birth:

 

Emergency Contact Details:

Name:
Relationship:
Phone:

 

Do you suffer from any medical condition that may affect your safety or that of others on the course? E.g. asthma, epilepsy, heart problems, recent surgery, pregnancy etc.
Please give details:

 

Where will you be staying?
(Use this link to find accommodation in Woolacombe)
Would you like us to arrange your accommodation? If so please select which type:
Where did you hear about us?
(E.g. nickthorn.com, northdevon.com, tourist information, accommodation provider etc.)
 

 

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