Pool Name:
Address:
Telephone No.
Fax No.
Contact Person:
Management Company:
Email:
Website:
Hours of Operation and Number of Guards Needed
School Schedule Regular I Schedule Regular II Schedule   Hours Per Week Hours Per Week Hours Per Week   Operation Hours No. of Guards Operation Hours No. of Guards Operation Hours No. of Guards Monday Tuesday Wednesday Thursday Friday Saturday Sunday Holiday A manager, assistant manager, and/or lifeguards will be provided as appropriate for your pool.
Staff Hours School Schedule Regular Schedule Regular II Schedule     Cleaning (Please select one and indicate number of guards needed) Arrive one half hour early for routine cleaning Arrive one half hour and leave one half hour late for routine cleaning Arrive one hour early for routine cleaning Leave one half hour late for routine cleaning Extra Guard coverage If you need additional guard coverage during specified time periods such as peak hours on weekends, please indicate number of guards needed, day (Monday, Tuesday, Wednesday, Thursday, Friday, Saturday, Sunday) and the specific hours. Number of Guards Needed Day (Saturday, Sunday, weekends only, etc.) Period of time From am pm    to am pm From am pm    to am pm From am pm    to am pm
Chemicals, First Aid Supplies, Janitorial Services, Permits Check items required (please indicate Y for YES, or N for NO). Pool Chemicals First Aid Items Test Kit Chemicals Janitorial Supplies Algaecide Permits