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The Administration Staff is here to help you and to answer all of your questions.
LIFE SAVERS SIGNUP FORM
FIRST NAME: LAST NAME:
EMAIL ADDRESS:
PHONE NUMBER:
GENDER
DAYS OF THE WEEK AVAILABLE (CHECK ALL THAT APPLY)
  • SUNDAY
  • MONDAY
  • TUESDAY
  • WEDNESDAY
  • THURSDAY
  • FRIDAY
  • SATURDAY
TIMES GENERALLY AVAILABLE
  • MORNINGS
  • AFTERNOONS
  • EVENINGS
PLEASE LIST ANY ALLERGIES IF YOU HAVE ANY
AREAS YOU ARE WILLING TO TRAVEL TO
  • BUCKEYE
  • GOODYEAR
  • PHOENIX
  • LITCHFIELD PARK
  • TOLLESON
  • SURPRISE
  • SUN CITY
  • PEORIA
  • GLENDALE
  • AVONDALE
  • EL MIRAGE
AGE GROUP(S) WILLING TO WORK WITH
  • CHILD
  • TEENAGER
  • ADULT