LifeGuard PR or Safety Training Request

St. Luke's Emergency Department

First Available Time :

Urgent Care - Anamosa

00 Patients
Waiting Now

Urgent Care - Hiawatha

05 Patients
Waiting Now

Urgent Care - Marion

01 Patients
Waiting Now

Urgent Care - Westside

08 Patients
Waiting Now

LifeGuard Request for Event or Safety Training Class

Please submit this form with as many details as possible and a member of our team will connect with you. Thank you!

LifeGuard PR Request Form.pdf
Date Requested: Time:  Your name:Phone:  Email:Contact name & Phone Number:Number of participants: Safety training/Other: Landing area:Special instructions:Sheriff's Dept. & Local Dispatch Invited?