Form Center

2. Interested in lifeguarding for the City of Dubuque pools? Fill out the interest form to receive updates on lifeguard certification classes and lifeguard job postings.
4. First Name*
5. Last Name*
9. Age*
10. Email Address*
14. Phone Number*
18. Have you successfully completed the American Red Cross Lifeguard Training course to become certified in First Aid, CPR/AED, and Lifeguarding?*

    1. Yes
    2. No
22. If yes, when did you receive your certification?

    Note, certification is valid for 2 years.

Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field