AQUA S.T.A.R. Canada

Lifeguarding Services Application

Personalized Swim Lessons in your area

Please Fill Up the Following

Host First & Last Name *

First

Last

Your Contact Number *

Your Email Address *

Event Site Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Does host own the property located at this address? *

If "No" please choose a property description *

THIS INFORMATION MUST BE ACCURATE.

While we don't anticipate an incident requiring Emergency Medical Services, we MUST know what city or district will respond. Before answering this question, please call the non-emergency police department number for your event site address to confirm the EXACT NAME of the responding emergency services provider.

Responding EMS District *

Please provide two cross-street names.

Nearest Intersection Street 1 *

Nearest Intersection Street 2 *

Please provide two cross-street names.

Parking Instructions *

Please provide information that may assist lifeguards with access and departure.

AQUA S.T.A.R. Canada

Lifeguarding Services Application

Personalized Swim Lessons in your area

Please Fill Up the Following

Please provide two cross-street names.

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