Returning Lifeguard Application

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Atlantic Beach Ocean Rescue 2011 Summer Season
Returning Lifeguard Application


Summer Address & Phone:

Current Address & Phone:

Please list dates for the following:

In case of emergency, who do you wish us to contact?

Please attach copies of all current EMS Certifications, current driver's license and social security card. Also, complete and attach a W-4 Form and an I-9 Form. Your application will not be accepted otherwise.

I hereby attest that the information I am submitting is truthful and accurate to the best of my knowledge.