National Beach Lifeguard Qualification Booking Form

Booking is easy. Simply chooose the preferred dates for your course (see course dates). It is advisable to select two dates in case your first choice is unavailable. Then fill out this form and submit it online. We will then be in touch to take your payement. Terms and Conditions apply.

Please tick the relevant box below to indicate which course you want to join: NBLQ ( 6 days). Course cost: £289. Deposit £80.
Full Name:
Email Address:
Telephone Number:
Mobile Number:
Home Address:
Address for the duration of the course (if known):
Date of Birth:
Male or Female:	Male Female
Current Employment Status:	Employed Unemployed Education
Name and Address of Employee (if applicable):
Are you interested in any of the following (please tick):	A week’s work experience at Lusty Glaze Employment as a Beach Lifeguard for the 2010 season Help finding accommodation
Preferred Course Dates: See course dates	First choice: Second choice:
Where did you hear about us this course at the National Lifeguard Training Centre?
If other, please state:
Please tick to confirm that you have read and understood the terms and conditions
Payment: After you press the Send Booking Form a member of our team will contact you to take deposit or full payment for the course.