LIFEGUARD SERVICES REQUEST FORM Name * First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Date * MM DD YYYY Starting Time * Hour Minute Second AM PM Ending Time * Hour Minute Second AM PM Números of Swimmers Expected * An approximation Less than 20 swimmers More than 21 swimmers Type of Supervision * Active monitoring with enforcement of pool rules (no jumping, rough play…) or more of a passive presence. In case of active monitoring specify the rules please. Additional Notes or Special Requests * "By submitting this form, you acknowledge that you have read and agree to the Waiver & Liability Release, which can be found in the Terms of Service. Participation in swim lessons and lifeguard services involves inherent risks, and you voluntarily assume all responsibility." Thank you!