You are on page 1of 1

Educational Tours Group Lifeguard Confirmation

This form serves as a CONFIRMATION that you will serve as a certified lifeguard at the Holiday Inn Express Please sign your name and date in the space provided and fax this form to Educational Tours. **Please also include copies of your life guarding certificates. **

Date of event: 4/23/2010


Time of event: 8:00-10:00PM @ 25.00 per hour
(PLEASE CALL RAQUEL GARCIA TO CONFIRM TIME 48 HOURS IN ADVANCE OF DATE)

School Name: West Chicago MS Hotel location: Holiday Inn Express 4000 Market St. Hannibal, MO 63401 Lifeguard Name: Katelynn Crockett
Phone: (217) 740-1537 Fax:(if available) : (#) Address: ____________________
___________________________________________________

(Lifeguard signature)

(Todays Date)

___________________________ (Educational Tours Representative) Raquel Garcia

Fax back to: Educational Tours, Inc. at 847/509-0011


Educational Tours, Inc. 111 Pfingsten Rd. Deerfield, IL 60015 ATTN: Raquel Garcia- Phone 847/509-0088 x255

Fax 847/509-0011

You might also like