Staff Applications - Lifeguard

STAFF APPLICATION

* Indicates required field

Name *

First

Last

Birthday *

Home Address (city) *

Line 1

Line 2

City

State

Zip Code

Country

Current Grade *

School Attending *

Cell Phone Number *

Home Phone Number *

Email *

Gender *

Male Female

Bungalow Colony *

Reference 1: (Name and Phone Number) *

Trip *

First Second Whole

T-shirt Size *

Reference 2: (Name and Phone Number) *

Past Job Experience *

Comment *

Submit

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