Lifeguard Request Form

How many hours do you want to book a lifeguard? *

2 hours 3 hours 4 hours More than 4 hours

What is the day of week, date and time range of the event? *

Address of the pool. *

Line 1

Line 2

City

State

Zip Code

Country

Our main service areas are Montclair, Glen Ridge, Verona, Cedar Grove and Bloomfield, NJ. If your pool location is outside of these areas our quote will include a travel surcharge. *

My pool is outside of your service area and I understand I will need to pay a travel surcharge. My pool is in the service area.

Tell us about the event. What type of event (birthday party, adult gathering...), estimated number of people, age range. *

Will alcohol be served during the party? *

Yes No

Brief description of the pool (estimated size, location, depth, main features) *

Is the pool heated? *

Yes No

If the party is at night after sundown, please advise if the pool has any of the following features. Check all that apply. *

Patio lighting Pathway lighting Underwater pool lights Floating pool lights

Upload a photo of the pool. *

Max file size: 20MB

Because safety is our top priority, and because we don't want to bother you during the event, we require a pre-event safety walk-through, preferably 5 days before the event. The meeting can be in-person or virtual, and takes about 15 minutes. Our safety expert will review the pool and deck area with the homeowner and discuss such topics as furniture arrangement, optimum spot for the lifeguard, bathroom location, emergency routes, etc. Please check the box below confirming that homeowner will make time for this meeting before the party. *

I confirm my understanding and will make time for the meeting.

Do you want to propose a date and time for the safety walk-through? *

Our policy is that guardians who can swim must be within arm's distance of any inexperienced swimmers, regardless if the inexperienced person is wearing a flotation device. Flotation devices are not a guarantee of safety, and guardians are the first line of defense to prevent accidents. Lifeguards are watching an entire pool and vicinity, and cannot focus on only one child or person. Please check below that you understand our policy, and that the guard, if necessary, will inform guests of this policy. *

I confirm my understanding of this policy.

Diving (head-first entries) is strictly prohibited during the party, whether from the side of the pool or from a diving board. Furthermore, diving board use of any kind is strictly prohibited during the party. Please confirm your understanding and agreement to this policy. *

I agree to this no-diving and no diving board policy.

Please confirm you will allow the lifeguard to use a bathroom in the home. *

The lifeguard can use a bathroom in my home or pool house.

Do you want the lifeguard to be vaccinated against Covid-19? *

Yes, absolutely I prefer it No, it doesn't matter

Do you need the lifeguard to wear a mask? *

Yes No Lifeguard's choice Only if they go into the house

After we receive this lifeguard request we will email or call you to confirm if we have found an available lifeguard for your event. If you want to move forward then we will send over a contract which you will need to sign. In this agreement the Homeowner understands agrees, and acknowledge that there are risks inherent in pool parties and sports activities, including swimming, and including any event with a lifeguard supplied by LifeCycle Aquatics, LLC. These risks include, but are not limited to, paralyzing injuries, brain injuries and death. These activities may be of a hazardous nature and/or may include activities such as swimming, diving, a variety of strenuous exercise and physical activities. I understand and agree to signing this. *

I agree

Our lifeguards are professional, experienced safety providers. Tips are not obligated, and they are also appreciated. Anything else you think we should know? *

HOURS BOOKED	COST
2 Hours (minimum)	$135
3 Hours	$175
4 Hours	$225
Each additional 1/2 hour over 4 hours	$30 per 1/2 hour