Premier Health & Safety
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Private Lesson Intake Form
Is this your son or daughters first time taking lessons with Premier?
What skills can your son or daughter already do in the pool?
What are your goals for your son or daughters lessons?
Are you planning on participating seasonally or year round?
Would your prefer a male or female instructor?
Is there anything else you think we should know about your child prior to us starting lessons with them?
Staff Member Completing Form
Stop Drowning Now
Course Change Request Form
Health & Safety Classes
Premier Health and Safety
36 Argonaut #130 Suite A
Aliso Viejo, CA 92656
© 2018 Premier Health & Safety
Terms & Conditions
You have selected a "Blended Learning" course.
You will not be able to participate in the classroom portion of the class without a completed certificate from the online portion.
Failure to complete the online portion will mean you will need to pay for the course again.
Once you have registered for the course we will email you instructions on how to complete your online learning.
Choose different class
While this may reduce your time in a classroom it also requires you to do the following prior to attending the in-person portion of your training:
Complete online blended learning course through the American Red Cross
Obtain an online completion certificate and bring it to the in-person skills portion of the class