Seaside Resort Lifeguard Application
First Name
Last Name
Email Address
Phone Number
Address
Date of Birth
Age
Lifeguard Certification
American Red Cross
YMCA
Ellis & Associates
Other
Certification Expiry Date
CPR & First Aid Certified?
Yes
No
Relevant Experience
Availability (days/times)
References
Are you legally authorized to work?
Yes
No
I certify that the information provided is true and complete.