White Sand Beach Lifeguard Application

Must be 15, Red Cross Lifeguard/First Aid/CPR& AED Certified) WSB will reimburse for cost of certification

Name(Required)

First Last

Date of Birth by July 1st of Year Applying For (Must be 15 by July 1st)(Required)

WSB Address (House # and Street) if Applicable

Street Address

Permanent Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Best Phone Number to Reach You(Required)

Are you a relative of a WSB Deed Holder?(Required)

Yes

I am renting a WSB home

If Yes, What is the WSB Deed Holder Name?

First Last

Email(Required)

Emergency Contact(Required)

First Last

Emergency Contact Phone(Required)

Availability Week Prior to 4th of July for Training?

Yes

Are there Days you are NOT able to Work?

CAPTCHA

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