High Sierra Pools Online Registration

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Welcome to High Sierra Pools!
Please complete the following registration form to enroll in the American Red Cross Lifeguarding r.24 Blended Learning course or High Sierra Pools Pool Operator Certification Class.

* denotes required fields

Family Information

Last Name

Contact #1

First Name*

Last Name *

How Can We Contact You?

Cell # *

Receive Text Message Notifications. By opting in, you agree to receive SMS messages from High Sierra Pools. Standard message and data rates apply. Reply STOP to opt out

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Student #1

Student's First Name*

Last Name*

Birth Date*

Additional Info

Email*

Application ID*

To locate your application ID, please refer to the confirmation email you received after completing the employment application. If you no longer have this email, please contact hr.team@highsierrapools.com or call 703-920-1750 ext. 205.

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Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

Email*

Application ID*

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Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

Email*

Application ID*

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Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

Email*

Application ID*

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Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

Email*

Application ID*

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Questions or Concerns

Comments

Payment Information

Credit Card

Card Number

Exp Month

Exp Year

Card Nickname

Name as it appears on card

Address Line 1

Address Line 2

City

State

Zip

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number

Registration

Family Information

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

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Student #3 (Show-Hide Details)

Additional Info

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Student #4 (Show-Hide Details)

Additional Info

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Student #5 (Show-Hide Details)

Additional Info

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Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Credit Card

eCheck/Bank Draft

Required Policies

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