top of page

FAST Swim Program Instructor Registration Form

Thank you for choosing the FAST Swim Program  Instructor Training! The goal is to teach you how to be a successful instructor following all FAST Swim Program guidelines. We believe that the use of USCG-approved type III life jackets and no forced submersion for all beginning swimmers will lead to program goals. All instructors are required to be First Aid and CPR certified. Please upload your certification at this time.

Birthday
Month
Day
Year

*Instructors must be 16 years old 

* Instructor Aides may be 14 years old

Choose which certification you are applying for
Instructor (16-years of age and older)
nstructor's Aide (Minimum 14-years of age)
Multi-line address

Type N/A if not applicable

Type N/A if not applicable

Parent/Guardian Information (if under age 18):

I hereby give the FAST Swim Program instructor trainer permission for me/my child to participate in the instructor training course. The signature below certifies that all information contained in my/my child's registration is correct and true. My signature also affirms my understanding that my/my child's participation in FAST Swim Program and activities may present some risk or injury. The FAST Swim Program and/or the instructor assumes no liability for injuries or damages that result from my/my child's participation in these programs or activities. I agree to indemnify and hold harmless Fast Swim Program and other program participants from liability that may arise from any risk, injury or death that is claimed to be related to this program or its services. 


Medical Release: I authorize the FAST Swim Program instructor to act on my behalf if medical treatment for me/my child is necessary. In the event of illness or injury to me/my child, I authorize the FAST Swim Program and/or instructor to obtain medical treatment for me/my child and authorize medical services to be provided at the expense of the responsible party (Parent/Guardian) identified below.

© 2022 FAST Swim Program - All Rights Reserved

bottom of page