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Jazzie Pools, Spas, & Fitness L.L.C. |
Life Foundations
Personnel Registration Form
Please Print Neatly
Name (Last, First, Middle Initial): _______________________________________________________
Address: ______________________________________________________________________________
______________________________________________________________________________
Date of Birth (MM/DD/YY): ______/_______/_______
Home Phone: ( )
Work Phone: ( )
Email: ________________________________________
Which class are you taking? ________________________________________________
Recerting CPR? Yes ________ No ________
First Aid? Yes ________ No ________
Lifeguarding? Yes ________ No ________
Pool Operator? Yes ________ No ________
Location you are planning to work at: _____________________________________________________
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