Print this page - Mail
to address below
JR. GUARD APPLICATION
Junior Guard Supervisor:
Lt. Emily Pendleton
Name
(please print) Last
First MI
Date of Birth:___________________
Age:________ |
Summer
Address Number Street
City State
Zip Summer Telephone
( ) |
Winter Address
Number
Street
City
State
Zip Winter
Telephone (
) |
Email
@
Parents/Guardians
Name_______________________________________________
Work Telephone ( ) |
T-Shirt
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Medium |
Large |
X- Large |
Youth |
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Adult |
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Short
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Small |
Medium |
Large |
X- Large |
Youth |
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Adult |
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Parents/Guardians
Signature___________________________________________
Just follow these steps to ensure proper delivery:
1. Print Application
2. Fill Out
3. Make check payable to: Rehoboth Beach Patrol Donation
Fund
4. Mail to:
(June - Sept.)
Rehoboth Beach
Patrol Headquarters
Attn. Junior Guards
1 Baltimore Ave.
Rehoboth Beach, DE 19971
(Oct. - May)
City of Rehoboth
Beach
Attn. Junior Guards
229 Rehoboth Avenue
Rehoboth Beach, DE 19971
Fees: For one child is $95 and
for every child after that is an additional $55
For More information feel free to call the Rehoboth Beach Patrol
Headquarters at
(June - Sept.) call
302-227-2280 (Oct.- May) call
227-6181(Attn:
Junior Lifeguards)
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