Customer Intake Form - Never Off Duty

Complete this form to receive a customized quote for your aquatic safety needs

Contact Information

Organization Name *

Contact Person *

Email Address *

Phone Number

Total Number of Lifeguards/Staff Involved in Aquatic Safety:

Full-time

Part-time/Seasonal

Total

Breakdown by Role

Role	Number of Staff	Certification Levels	Training Frequency

Staff Turnover Rate (Annual %)

Any recent staffing shortages or challenges? (e.g., recruitment issues, burnout)

Current Risk Management Training Provided to Staff - Frequency

Topics Covered

Gaps Identified

List All Aquatic Locations Under Management

Location Name	Type	Dimensions/Size	Daily/Seasonal Attendance	Unique Hazards

Current Safety Measures in Place - Surveillance Tools (e.g., Cameras, Lifeguard Stations)

Signage and Barriers

Water Quality Monitoring

Identified Risk Management Needs - High-Priority Risks (Rank 1-3)

Environmental Factors (e.g., Weather Exposure, Night Operations)

Compliance Gaps (e.g., With Local Codes or Standards)

Type of Service Needed

Dates and Scheduling Needs

Additional Information or Special Requirements