Boone County Water Rescue
Proudly serving Boone, Kenton, and Campbell Counties



Membership Pre-Application Request

You must be a resident of Northern Kentucky to join.

First Name:
Last Name:

Contact Information:

Home Phone: ( ) -
Cell Phone: ( ) -
Work Phone: ( ) -

E-mail:

Address:

, KY

 
Why would you like to be part of the team:

Please enter the 5 numbers below into this box.

When you click Submit you will be taken to a secure online application, you will be asked for some of this information again, please fill it out.


Copyright Boone County Water Rescue 2018