Full Name ::

E-Mail Address ::

Postal Address ::

Telephone No#

Date of Birth ::

Chosen Course :: (can be found here)

I wish to apply for place on the following course date::

At my preferred venue held in ::

Courses with Accommodation ::

Iwillwill not require accommodation during the course (where available)

Overseas Courses ::

I wish to fly from Airport

I understand in order for my application to be processed, I need to send a cheque for the initial deposit of £50.00 (UK Courses) or £200 (Courses Abroad) made payable to 'J.Sager' :-

Lifeguard International, 'March'

The Belyars

St.Ives

Cornwall

TR26 2DD, UK