OFFERING LIFEGUARD SERVICES,POOL REPAIR AND MAINTENANCE

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First name
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Email
Password
Confirm Password
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City
Zip
Date of birth     
Home Phone
Cell Phone
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Emergency contact info
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(i.e. Now Hiring Card, Newsletter,
School Paper, Road Sign, Truck, Friend, etc.)
Lifeguard-Have you been trained?   Yes
CPR-Have you been trained?   Yes
Have you attended an Orientation?   Yes    No
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