Holiday Request Form

PLEASE FILL OUT ALL OF THE INFORMATION

This form should only be used for May 25,26,27,July 3,4,5, August 31, September 1,2. Refer to Lifeguard Handbook page 19 or Manager Handbook page 6.

Personal Information
First Name:
Last Name:
Cell Phone (xxx-xxx-xxxx):

Email Address (must be filled out to send form):

Assigned Facility:

PIN:

HOLIDAY INFORMATION

Holiday request:


REASON FOR REQUEST


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