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BWAC Rescue Log Form

  1. BWAC Rescue Log Form
  2. Name of Supervisor Filing Report
  3. Name of Rescued Person
  4. Parent/Legal Guardian/Supervisor With Child at Pool
  5. Were the Parents/Guardian/Relative notified?
  6. Was the person taken to the hospital?
  7. List 2 witnesses to the rescue
  8. Guard Making Rescue
  9. Leave This Blank:

  10. This field is not part of the form submission.