COURSE DATES & TIMES: Thursday November 11th 5:00PM to 8:00PM Friday November 12th 5:00PM to 10:00PM Saturday November 13th 8:00AM to 8:00PM Sunday November 14th 8:00AM to 6:00PM *100% attendance at all days is required

REGISTRATION DEADLINE: Thursday November 11th 12:00 Noon REGISTER AT CURRENT YMCA 702 E. Grand Ave, Ponca City

FEES: Community Participant $225.00 YMCA of Ponca City Member $175.00 YMCA Crossover Certification (Current Red Cross Certified) $25.00 **No refunds after attending the first class day

TRAINING LOCATION: 1604 W. Grand Ave., Ponca City NEW YMCA Facility

COURSE DESCRIPTION: This course is designed to provide the participants with the knowledge and skills needed to be a lifeguard. It

presents information on the basic skills and knowledge lifeguards need in pool, lake, river, surf, and waterpark

environments. The comprehensive course offers up-to-date information on how to guard by anticipating and

preventing problems before they occur and by taking action to help those in danger when necessary. It also

covers safety and survival skills every swimmer needs to know, accident prevention, guarding techniques,

emergency systems, rescue skills, first aid in aquatic environments, spinal injury management, weather and open

water dangers, legal responsibilities, pool management, and information on how to get a job as a lifeguard.

CONTACT: Stacie Hobbs, YMCA Aquatic Director and Trainer for this course if you have any questions or concerns. YMCA 580 765 5417 E-Mail shobbs@ymcaofponcacity.net

PREREQUISITES: �� Current CPR, First Aid Certification, AED, Oxygen Certifications �� Be at least 16 years of age �� Pass the following swim test:

�� Perform a long, shallow front dive, then swim 500 yards including 100 yards of each of the following strokes: Sidestroke, Front Crawl, Breaststroke, Sidestroke kick with one arm forward, Inverted Breaststroke kick with arm on the stomach

�� Tread water for 2 minutes with legs only. �� Surface dive both head-first and feet first into 8 to 10 feet of water and swim under water 15 feet

�� Remain Alert with no lapses of consciousness �� Sit for extended periods, including in an elevated chair. �� Move to various locations, including in and around an elevated chair �� Communicate verbally, including projecting the voice across distances, and communicate swiftly and

effectively with emergency personnel over the telephone and in person �� Hear noises and distress signals in an aquatic environment, including in water, with background noise �� Observe all assigned sections of the water environment �� Perform all needed rescues and survival skills. �� Think in the abstract, solve problems, make decisions, instruct, evaluate, supervise, and remember. �� Operate alone as a lifeguard, with or without other lifeguards for support �� Medical clearance for both physical and mental ability is recommended.

�� FULL PARTICIPATION IN THIS COURSE IS REQUIRED �� SUCCESSFUL COMPLETION OF WRITTEN TEST (80% OF EACH SECTION) �� CORRECT PERFORMANCE OF ALL WATER SKILLS

Complete the bottom of this form and register at the YMCA Registration is limited. PARTICIPANTS NAME:

PHONE: (H) (W) (C)

ADDRESS:

CITY: STATE: ZIP:

Community Participant $225.00 $ YMCA of Ponca City Member $175.00 $ Crossover Certification $25.00 $

METHOD OF PAYMENT: Total: $ PARTICIPANTS SIGUNATURE: DATE:

If under 18 parent or guardian must ALSO sign:

PARENT/GUARDIAN SIGNATURE: DATE:

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