Quality Assurance Reporting - WASH Lifeguard Certifications

QA Concern

First Name

First

Last Name

Last

Phone # (include country code)

WhatsApp #

Course Location

Date of Course

Course Name (if known)

Name of Instructor or Company Teaching Course (if known)

Course Participation

I was/am a Participant in the Course

My Child Was a Participant in the Course

I was Not a Participant but Witnessed Concern

My Child's Phone #

My Child's Email Address

Describe Concern

Permission to Contact

I Agree to Receive Email and/or Phone Communication from World Academy of Safety & Health (WASH) and/or any of its subsidiaries or sister companies with regard to the Quality Assurance concern described above.

Attestation

I attest that the information I am providing is accurate and truthful to the best of knowledge and recollection.

If you are human, leave this field blank.