Assateague State Park
2009 Junior Beach Patrol
Assateague State Park Junior Beach Patrol Program
Get a taste of what it’s like being a part of the Assateague State Park Beach Patrol by training with the lifeguards! Participants will have the opportunity to learn about and get involved with many different components of lifeguarding, including lessons about beach and ocean ecology; basic surf rescue techniques; physical fitness challenges; and rescue equipment and how it is used.This camp is open to Assateague State Park campers as well as Day Use Visitors. Camp meets at Lifeguard Office at Assateague State Park Concession building. For more information or to register for the Assateague State Park Junior Beach Patrol, contact us at (410) 641-2120 ext. 20 or abaldwin@dnr.state.md.us
Junior Beach Patrol Program Ages: 7 – 15
Tuesdays – Thursdays (2-day session)
10:15 a.m. – 12:00 p.m.
Session 1: June 30th and July 2nd
Session 2: July 7th and July 9th
Session 3: July 14th and July 16th
Session 4: July 21st and July 23rd
Session 5: July 28th and July 30th
Session 6: August 4th and August 6th
Session 7: August 11th and August 13th
Session 8: August 18th and August 20th
* Equipment is provided. Registered participants receive a handbook, water bottle and certificate of completion. Participants should wear bathing suits, sunscreen, and hats are recommended. Service charge of $10.00 per participant. Pre-registration by phone or email is recommended. Space is limited.
Assateague State Park 2009 Junior Beach Patrol ApplicationPlease print clearly
Name of Child: ___________________________________________________________
Birth Date: _____________ Age:____________
Parent/guardian name: ____________________________________________________
Street or P.O. Box: ________________________________________________________
City, State, Zip: ___________________________________________________________
Telephone (H): ______________________ Telephone (W): _______________
Telephone (C):_______________________
Campsite # (if applicable):_____________
Can your child swim? Yes/No
Can your child tread water? Yes/No
Please use the space below to provide any pertinent medical information (medical considerations, allergies, special needs, etc.):
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________Please register my child for the following sessions.
Date Camp Selection June 30th & July 2nd Junior Beach Patrol _________________ July 7th & July 9th Junior Beach Patrol _________________ July 14th & July 16th Junior Beach Patrol _________________ July 21st & July 23rd Junior Beach Patrol _________________ July 28th & July 30th Junior Beach Patrol _________________ August 4th & August 6th Junior Beach Patrol _________________ August 11th & August 13th Junior Beach Patrol _________________ August 18th & August 20th Junior Beach Patrol _________________ Parent/Camper Agreement:
In signing this application, I affirm that my child is in good health, capable of performing the required exercise to participate, and that I accept as my personal responsibility the hazards of such participation. Hazards of the Junior Beach Patrol program include, but are not limited to: sun exposure, personal fatigue, deep water, currents, etc.
I agree to hold harmless Assateague State Park and all of its employees, officers, and agents in the event of an injury occurring to my child. I recognize that participating in these activities has a certain amount of risk and that injury is always possible. I certify that my child is, to the best of my knowledge, physically able to participate in this activity. I assume full financial responsibility for medical expenses arising out of such an injury. I hereby authorize the camp director to act for me according to his or her best judgment in any emergency medical situation.
I further authorize Assateague State Park staff to transport my child as needed between sites within the park in Maryland Park Service vehicles as needed.
Parent’s Signature: ___________________________________________________
Camper’s Health Insurance information (if applicable): __________________________________________
I also understand that by participating in the Junior Beach Patrol Program, my child will not be certified as a Professional Lifeguard, nor will they be trained in the full range of skills and responsibilities that Professional Lifeguards obtain. Therefore my child and I understand that he/she is never to attempt a rescue in any real-life situation, but instead should seek help from an adult and call 911.
Participant’s Signature: _______________________________________________________
Parent’s Signature: ____________________________________________________________
Make check or money order payable to: MD DNR - Assateague State Park
Please mail application and check or money order to:
Assateague State Park - Junior Beach Patrol
7307 Stephen Decatur Highway
Berlin, MD 21811