BCA Lifeguard Application 2026

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Name*

First NameLast Name

Email*

example@example.com

Date of Birth*

Date

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

YesNo

American Red CrossOther

Please check your e-mail to sign up for dates for certification classes and any other BCA Pools information!

What date were you certified?

Date

High SchoolCollegeOther

What high school do or did you attend?

YesNo

What college do you attend?

Lifeguard Application - NEW GUARD