JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
CURRY COUNTY JUNIOR LIFEGUARDS 2024
Event Timing: July 22nd - 26th 2024 - 10:00 a.m to 3:00 p.m.
Event Address: Port Point Beach - Port of Port Orford
Port Orford, Oregon 97465
Contact us at (541) 373-1308 or currycountyjuniorlifeguards@gmail.com
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Student Name
*
Your answer
Parent/Guardian Name
*
Your answer
Phone
*
Your answer
Student age during program (9-17 years of age)
*
Your answer
Student T-Shirt Size
*
Adult S
Adult M
Adult L
Adult XL
Emergency Contact Name
*
Your answer
Emergency Contact Phone Number
*
Your answer
JUNIOR LIFEGUARD PARENT HANDBOOK
Parent Handbook
I have reviewed the Parent Handbook
*
Yes
No
Required
Curry County Junior Lifeguard 2024 Waiver
Please sign and return waiver or bring paper copy to first day of session.
Pay Student Registration Fee
*
Port Orford Session - $200
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms