LONG BEACH TOWNSHIP BEACH PATROL 6805 Long Beach Boulevard, Brant Beach, NJ 08008

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Dear Prospective LIT/B-LIT: Thank you for your interest in participating in our Lifeguard-In-Training (LIT) Program or our Beginner Lifeguard-In- Training (B-LIT) Program during our 2018 summer season. The deadline for all required documents is May 1, 2018. The following documents are to be submitted by this date: 1. Application completed in full (to be filled out by computer and either mailed or emailed to renee@lbtbp. com) 2. Physical needed to take swim test and to participate in program 3. Birth Certificate (for new applicants) Each applicant must pass our swim test, taken at St. Francis Aquatic Center (schedule is attached). The requirements are as follows: LIT - B-LIT - 150 yards in 2:30 or less 150 yards in 3:00 or less. Upon completion of all of the swim tests, you will be notified, via email, if you have been accepted into the LIT Program or B-LIT Program. The fees for the LIT/B-LIT Program this summer are as follows and payable only upon notification of acceptance: LIT Program - $ 225.00 for a single session $ 375.00 for both sessions B-LIT Program - $ 90.00 for a single session $ 150.00 for both sessions. (This fee is due only upon your notified acceptance into the LIT/B-LIT Program.) Summer sessions are as follows: The first session for B-LIT and LIT is Monday, June 25 through Friday, July 20. The second session for B-LIT and LIT is Monday, July 23 through Friday, August 17. If you have any further questions, you may contact the beach patrol office at (609) 361-1200 between 9:00 a.m. and 4:00 p.m. Monday thru Friday. Sincerely, Tracey A. Schmidt Lifeguard Coordinator Josh Bligh Lifeguard Coordinator

LBTBP Lifeguard-In-Training and Beginner Lifeguard-In-Training (LIT/B-LIT) Programs Objectives The following skills and goals will be met through practical and objective application as guided by the instructors. To enable young men and women to become familiar with and knowledgeable about the profession of lifeguarding. To improve physical, mental, and social skills while developing maturity. To give each individual the ability to safely enjoy our surrounding water environment. To learn the ocean rescue techniques used by LBTBP. To educate individuals about ocean safety and LBTBP policies. Class Times and Dates LIT class will begin at 9:00 a.m. and end at 12:00 noon, Monday through Friday. B-LIT class will begin at 1:30 p.m. and end at 3:30 p.m., on Monday, Wednesday and Friday. There will be optional skill sessions Tuesdays and Thursdays from 1:30 p.m. to 3:30 p.m. for those who want or need additional skill instruction, as determined by the LBTBP LIT Program instructors. For 2018, the Program dates will be: Classes meet at Bayview Park, 68th St. on the Bay in Brant Beach. First session LIT/B-LIT - Monday, June 25, through Friday, July 20 Second session LIT/B-LIT - Monday, July 23, through Friday, August 17 Swim Test A swim test for each session will be held in the indoor pool at the St. Francis Center. The test consists of a 150 yard swim (6 lengths) that must be passed in 2:30 minutes or less for LIT s and 3:00 minutes or less for B-LIT s. Candidates may take the swim test up to two (2) times in order to improve their swim test times. Regardless of what session you are applying for you must attend one of the swim test dates below. Physical form must be submitted prior to, or on the day of, the swim test to be permitted to take the swim test. Saturday, May 5th Saturday, May 12th Saturday, May 19th Saturday, May 26th Arrangements have been made to use the St. Francis Pool for pre-season training. From April 9th June 2nd, every Tuesday and Thursday from 7:00 a.m. 9:00 a.m., Monday and Wednesday from 5:45 p.m. 7:45 p.m., and Saturday from 8:00 a.m. to 10:00 a.m., three lanes of the pool have been reserved for anyone, veterans, new guards and LITs/B-LITs; trying out for LBTBP. Enter at the east Aquatic Center door, sign in and respect all pool rules. If we have not received your application, you will not be on the list at the St. Francis Aquatic Center for pool use. Program Requirements LIT applicants must be at least 13 years of age and may not be 16 years of age or older at the start of the session in which you will be participating. B-LITs must be at least 10 years of age and may not be 13 years of age or older at the start of the session in which you will be participating. Applications will not be accepted unless accompanied by the applicant s birth certificate. Uniforms will be provided and must be worn during the LIT Program. Applications must be received by Friday, May 1, 2018. Priority for sessions will be given to returning LITs. Admission in the program is on a first-come, first-serve basis provided the applicant passes the swim test. Participants of the LIT program will be charged a fee of $225.00 for a single session and $375.00 for both sessions and participants of the B-LIT program will be charged a fee of $90.00 for a single session and $150.00 for both sessions. This fee is due only upon your acceptance into the LIT/B-LIT Program. Any further questions may be directed to the LIT Program Director or Tracey A. Schmidt. They can be reached at the Long Beach Township Beach Patrol office at (609) 361-1200. The Long Beach Township Beach Patrol reserves the right to alter, in any way, the Lifeguard- In-Training Program.

B-LIT (1:30pm - 3:30pm M-W-F) 1ST Session - Monday, June 25 thru Friday, July 20 2nd Session - Monday, July 23 thru Friday, August 17 LIT (9:00am - 12:00pm M-F) 1ST Session - Monday, June 25 thru Friday, July 20 2nd Session - Monday, July 23 thru Friday, August 17 2018 Lifeguard-in-Training Application B-LIT (10-12 yrs of age) / LIT (13-15 yrs of age) Application is computer friendly Last Name First Name MI Sex Date of Birth Permanent Summer Please mark preferred session: First Session Second Session Both Sessions Permanent # Cell # Summer # M F Clothing Sizes: T-Shirt: Shorts: Sweatshirt: S M L XL Adult Youth E-Mail School Name City State Grade ARC CPR Certification? SCUBA Certification? LBTBP LIT Certification? Expires Expires Level Date Y N Y N Other certifications - list dates and locations. Continue on next page if necessary. Emergency Contact #1 - Name / Relation # Emergency Contact #2 - Name / Relation # 1. Do you have a history of medical problems which would prohibit you from performing the skills necessary for this program? Y N 2. Have you ever been convicted of a crime? 3. Have you ever been discharged from a position? Y Y N N If you answered yes to questions 1, 2 or 3, please explain on next page. If you have a history of learning disabilities, please state. I state that the above information is true and correct to the best of my knowledge. Signature of Applicant (Electronic signatures accepted) Date Signature of Parent or Guardian (for minors only) (Electronic signatures accepted) Date Incomplete applications will not be accepted. Must be completed in full.

Additional Information: Other Certifications: Explanation for questions 1, 2 or 3

Medical or Osteopathic Physician s Documentation of the Physical Health of an Individual Applying for Participation in the Long Beach Township Beach Patrol Lifeguard-In-Training (LIT) Program and/or Beginner Lifeguard-In-Training (B-LIT) Program I certify that I have examined/documented: First Name Middle Initial Last Name Date of Birth Permanent City State Zip and find his/her condition as indicated below: In my opinion the above named individual (Check one) q Does possess the adequate vision, hearing acuity, physical ability, and stamina to participate in the activities of the LBTBP Lifeguard-In-Training (LIT/B-LIT) Program. q Does not possess the adequate vision, hearing acuity, physical ability, and stamina to participate in the activities of the LBTBP Lifeguard-In-Training (LIT/B-LIT) Program. To participate in the activities of the LBTBP Lifeguard-In-Training (LIT/B-LIT) Program the above named individual must be able to do the following: Running/sprinting on beach/sand Ocean swimming Paddling a rescue paddleboard in ocean/surf Rowing a surfboat in ocean Signature of Physician Date # City State Zip *This form must be stamped by the physician s office doing the exam using their office/business stamp and/or notarized.