Lifeguarding Staffing Info Request Form
----------------LIFEGUARDS ASSEMBLE!!-------------------
Join our Lifeguard Staffing Group!! Earn an $AMAZING$ hourly rate (not kidding on that one) and work as an Assignment based Lifeguard at various and awesome locations near you!! We respect our staff so join us and be a part of something bigger than many can imagine!! Click below to sign up!! No fee to join. Immediate one-time phone or Zoom interview ahead of any assignment. Get you to work quick!!
If you're interested in being contacted for potential lifeguard job opportunities, please fill out the form so we have permission to contact you regarding roles.

Note: Must be 18 years or older. If younger than 18 years old please provide your parent or guardian's email and phone information. Please ensure contact information is correct, otherwise you may not receive correspondence.
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Phone Number *
If you are under 18 years old, please provide the email of your parent or legal guardian.
Date of birth
If you over 18 years old, you may skip this.
Current Lifeguard Certification Type *
If you have no current valid certificate, please visit https://www.aquaticsolutions-cpr.com/lifeguarding-classes-new-york/ for all of our available upcoming lifeguard classes
Required
Is your Professional Level CPR/AED certification Valid? (i.e. CPR/AED for the Professional Rescuer or Basic Life Support (BLS) or equivalent. *
What is/are your ideal lifeguarding environment? *
Required
Check areas you are interested in working in *
Required
Date of Availability *
MM
/
DD
/
YYYY
What is your desired hourly pay rate? *
Please check all days you cannot work
Do you drive *
How many years of experience as a Lifeguard do you have? *
Check all that apply to you:
Are you legally authorized to work in the United States? *
As a thank you for submitting the form, you will receive a  discount promo code that you can use at check out for a 5% discount code on your next order.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of aquaticsolutions-cpr.com. Report Abuse
Google Forms