KCPC 2026 New Guard Application

Now accepting applications for Summer 2026. Apply below
Full Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Age
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Village you live in
First Pool Preference
Second Pool Preference
Applicants Email Address
We will contact you via email in response to your application
Applicants Phone Number
Emergency contact name
Emergency Number

Area CodePhone Number
What's your relationship to the emergency contact
Primary Position applying for
Do you have reliable transportation
Do you have access to a cell phone or mobile device to clock in/out for your shift?
Years of lifeguarding experience? if any
How did you hear about us?
Did anyone refer you? If yes, who?
Other work experience? if any.
Will you be attending summer school? if yes when?
Are you attending any extra curricular activities? If yes, when?
Shirt size
Favorite gas station snack?
Applicant Signature
Should be Empty:

Now accepting applications for Summer 2026. Apply below