2017 Lifeguard Service Request Form
Please provide all information requested. We'll confirm service availability within one business day.
HOST INFORMATION
Host Name
Your answer
Email Address
Request reply will be sent to this account. Please check for a response after one business day.
Your answer
First Phone
Your answer
First Phone Type
Second Phone
Your answer
Second Phone Type
SITE INFORMATION
Service Site Address
Your answer
City, State, and Zip Code
Provide local municipality name. Use "St. Louis" only if the address is in the City of St. Louis.
Your answer
Responding EMS District
It is important that this information be accurate. While we don't anticipate an incident requiring EMS, we like to know what city or district will respond in case of emergency. Please choose from the following menu of St. Louis area EMS districts, or select "other" and include on the next line.
If you indicated "OTHER" above, please give name of responding EMS district.
Your answer
Nearest Major Intersection
Please provide two cross-street names.
Your answer
Does host own the property located at this address?
EVENT INFORMATION
Backyard Lifeguards requires a minimum booking time of two hours. Included with service, lifeguards will arrive 30 minutes ahead of scheduled event start time. Please list the times lifeguards are to begin and end supervision duties, exclusive of any set-up or closing. Hosts may request additional time once an event is in progress.
Event Day
Event Date
MM
/
DD
/
YYYY
Event Start Time
Time
:
Event End Time
Time
:
Multiple Bookings
Customers may book multiple events at one time. If requesting additional dates and times at the same location, please list them below.
Your answer
Theme Parties (optional)
Clients may opt for hourly lifeguard service or an all-inclusive theme party. Theme parties include all water safety personnel and supplies for structured activities conducted for 30-45 minutes of a two-hour engagement. Cost for each theme party below is $300. To accommodate longer events or larger groups, additional time and/or lifeguards may be added. Hourly rates will apply. Some "other" themes can also be accommodated.
* Please note: due to space restrictions and safety concerns, Fin Fantasy participants will be divided into two activity groups with a maximum of six in each. The group may enjoy free swim (without tails) together at the end.
Photo Package (optional)
Backyard Lifeguards has partnered with STL Camp Views to bring you lasting memories of your pool party. Photo package includes two hours of photographer on-site time and 20 edited digital photos provided within one week of event completion.
GUEST INFORMATION
Expected Number of Participants
The age and number of participants expected to be in the water at the same time determines the number of lifeguards required to supervise.
Hosts are expected to engage the number of lifeguards appropriate to the supervision ratio. Should the ratio be exceeded without notice, Backyard Lifeguards will allow for a maximum 25% overage, above which lifeguards will enforce the ratio by restricting the bather load. Convenience fee charged for lifeguards added to an event in progress.
Age Range of Participants
Special Occasion
Honoree Name/s
Your answer
Honoree Age/s (if youth)
Your answer
Special Considerations
If you are aware of any person/s to be in attendance with a disability, medical condition, or diagnosis that may require accommodation, additional attention, or advance knowledge by the lifeguard, please provide participant name/s and condition/s below.
Your answer
Will alcoholic beverages be served to anyone at the event site?
THANK YOU!
We will reply to your request within one business day. If you should have questions in the meantime, please email reservations@Backyard-Lifeguards.com, or call us at 314.330.4188. We look forward to serving you.
Anything else you'd like us to know?
Each event is special. If you have a request for a particular Backyard Lifeguard team member that you know and like, or if there are details you'd like communicated to the lifeguards, such as where to park, additional rules to enforce, or that it's a surprise, just tell us.
Your answer
How did you hear about Backyard Lifeguards?
Please indicate "OTHER" below
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Backyard Lifeguards. Report Abuse - Terms of Service - Additional Terms