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Print this page - Mail to address below
JR. GUARD APPLICATION
Junior Guard Supervisor: Captian Jeffery Giles
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Name
(please print) Last First MI
Date of Birth:___________________ Age:________
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Summer
Address Number Street
City State Zip
Summer Telephone ( )
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Winter
Address Number Street
City State Zip
Winter Telephone ( )
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Email @
Parents/Guardians Name_______________________________________________
Work Telephone ( )
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T-Shirt Size
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Small
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Large
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X- Large
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Youth
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Adult
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Short Size
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Small
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Medium
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Large
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X- Large
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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 $100 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) Back
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