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2026 Lifeguard Interest Form
Please complete if you are interested in lifeguarding at the Hummelstown Swim Club for the summer of
2026
.
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Email
*
Your email
Name (First and Last)
*
Your answer
Name you would like us to use.
*
Your answer
Phone Number
*
Your answer
Home Address (123 Main Street, Hummelstown, PA)
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Are you currently a certified America Red Cross lifeguard?
*
Yes
No
2026 HSC Lifeguarding Class - Information coming soon!
*
Yes, Interested in taking the course at HSC
No
Provide any other information that you would like us to know.
*
Your answer
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