Junior Guard Registration Form
Start date: Monday June 21st
End date: Friday July 30th
-Starfish ages 6-8 will come M, W from 8:30-10
- JGS ages 8-11 will come M, W, F from 8:30-10
-JGs ages 12-15 will come M,W,F from 10-11:30
T-Shirt Size (Adult sizes):
Participants are girls and boys between the ages of 6 and 17. Age groups, used in competitions and practices, are broken down as follows: AA 16-17 years old. A 14- 15 years old. B 12-13 years old. C 8-11 years old. Starfish 6-8 years old.
Preference Phone #:
Emergency Contact Name:
First year in the program?
Swimming Ability (brief description)
If there are any conditions that would limit your child from participating fully in strenuous activity connected with this program/ any food allergies, please explain
"Session will run from June 21 to July 30th. This season will look alot different than our past seasons. In order to keep everyone as safe and healthy as possible, we are going to be structuring our program differently. We appreciate your understanding in advance."
Please Choose from the following groups:
Long Branch Junior Lifeguards: The Cost is $140.00. In order to keep everyone as safe and healthy as possible we will be holding practices Monday/Wednesday/Friday with each age group coming at a different time slot in the morning. These times will be released soon. Description: Consists of beach awareness and safety, sunblock protection, CPR training, practice using lifesaving equipment (boards, torps), running, swimming, getting comfortable with the ocean. **INCLUDES LBJG Shirt and Swim Cap, USLA Membership is free this summer- all JGS will be enrolled
Starfish Group: The Cost is $80.00. In order to keep everyone as safe and healthy as possible we will be holding practices Monday and Wednesday. These times will be released soon. Description: Consists of beach awareness and safety, sunblock protection, CPR training, practice using lifesaving equipment (boards, torps), running, swimming, getting comfortable with the ocean. **INCLUDES LBJG Shirt and Swim Cap, USLA Membership is free this summer- all JGS will be enrolled
Long Branch Junior Lifeguards
Waiver/Release In a consideration of your child being permitted to participate in the Long Branch Junior Lifeguard Program (including tournaments) I hereby waive & release any & all rights & claims for damages that I may have against the Program Coordinator or his/her assistants, the City of Long Branch, their representatives & agents, or anyone connected with the Long Branch Junior Lifeguard Program, for any & all injuries suffered by the above named child while participating in the Long Branch Lifeguard Program.I also understand that injuries may take place during the course of the program due to the nature of the physical activities that take place during the course of the session & tournaments.I understand that the City of Long Branch is not responsible for the insurance payments associated with any injury that may result from participation in the program and tournaments.I understand that the number of participants in the program makes it difficult to monitor all of the actions & behavior of each individual & that the instructors are responsible for the safety of each individual, they can not be held responsible for the actions & behavior of each individual.The parent/guardian must agree to these terms before the child is allowed to participate in the programI certify that to the best of my knowledge, the information I have provided on this form is correct.I agree to, & understand, all of the terms stated on this form. Please agree to the above terms and conditions* *Photos of practices and activities will be published on YouTube and other social media pages. By signing this waiver, we receive your consent in allowing us to publish photos, which will involve your child in the said platforms.
Please submit payment to the Recreation office located at 231 Wilbur Ray Ave. in Long Branch. All checks can be made out to Long Branch Junior Guard Trust