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Castaic Jr. Lifeguard Program - Castaic Lake
Date of Incident *
MM
/
DD
/
YYYY
Time
:
Name of Jr. Guard *
Your answer
Age *
Your answer
Sex *
Location *
Injury *
Your answer
Activity *
What they were doing at the time of the Injury - ie: Running, Swimming
Your answer
Treatment: *
Required
Equipment: *
What was used by Lifeguard to treat injury
Required
Name of LIFEGUARD who gave treatment *
Your answer
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