2. Certified/Trained Adults – Must be present at all times AND submit copies of certifications/training cards with this form.
Lifeguards MUST have their certifications and photo identification on their person while they are lifeguarding.
First-aid certified adult
Exp Date
CPR certified adult
Exp Date
Outdoor 101 trained adult
Course Date
Basic Camping Skills trained adult
Course Date
Basic Tent and Yurt Camping Skills
Course Date
Other certifications (Lifeguard, Archery, Watercraft, Low Ropes Challenge Course or Outdoor trainings attended prior to 2008)
Adult
Course Name
Exp Date
Adult
Course Name
Exp Date
3. Attach Required Items – please submit the following 2 items w [