[City of Asbury Park] Asbury Park Beach Patrol Junior Guards Program Registration Form

Asbury Park Beach Patrol Junior Guard Program

Registration Form

Asbury Park Beach Patrol has a long-standing tradition as one of the oldest lifeguarding agencies in the United States. The Asbury Park Beach Patrol Junior Guard Program, aimed at youth ages 10 to 15, will teach beach safety and awareness and give participants the tools and skills necessary to become a lifeguard on our beachfront. The program will follow a curriculum developed in accordance with current Asbury Park Beach Patrol operations and United States Lifesaving Association Standards.

Junior Guard Program Details

6-Week Program for Youth Ages 10 to 15
Program runs from June 28 through August 6
Junior Guards meet Monday, Wednesday, Thursday from 7:45am to 9:00am
Registration Deadline: June 15
No Cost for Residents (Proof of Residency required)
Cost for Non-Residents is $100 due by June 21 (Payments can be made in-person by cash or check (made out to City of Asbury Park) at the Asbury Park Beach Office located on the Boardwalk at First Avenue)

Please note, all Junior Guards will be required for a parent/guardian to sign a waiver of liability before they can participate in the program. The waiver will be emailed or can be picked up at the Asbury Park Beach Office located on the Boardwalk on First Avenue beginning in June. Please be sure to bring the waiver with you on the first day of the program.

Age of Jr Guard

Birthdate of Jr Guard

Residency

Resident (No Cost for Residents. Proof of Residency required.)

Non-Resident (Cost for Non-Residents is $100 due by June 21. Payments can be made in-person by cash or check (made out to City of Asbury Park) at the Asbury Park Beach Office located on the Boardwalk at First Avenue.)

Proof of Residency (Parent or Guardian to provide one: Valid Driver’s License of, Property Tax Receipt, Utility Bill, Lease Agreement, Insurance Card, Voter Registration Card etc)

Parent/Guardian Phone Number

Parent/Guardian Email

Additional Emergency Contact Phone Number

Jr Guard Shirt Size

Parent/Guardian Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.