2025 Lifeguard Application Form

Name(Required)

First Last

Date of Birth(Required)

Job Applying For(Required)

Employee Email(Required)

Employee Phone(Required)

Date Of Lifeguard Certification

Employee must be certified with a Red Cross or Red Cross equivalent course before they may begin working. Leave blank if not yet registered for a course, put date you are taking the course if you are already registered for a course

Parent/Guardian Name(Required)

First Last

Parent/Guardian Email(Required)

Parent/Guardian Phone(Required)

CAPTCHA

2025 Lifeguard Application Form

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