Incident Report

The information below must be submitted to Aquabilities with Jennifer, LLC within 24 hours of any accident, injury or death involving a member or staff of Aquabilities with Jennifer.  A verbal report is to be given immediately to Jennifer by calling 347-541-7665. Please fill out the form completely and hit the submit button,

Aquabilities
at the Whitehall 
Aquabilities
at the Hebrew Home
AQUABILITIES WITH JENNIFER © 2016 
(347) 541-POOL (7665)    aquabilitieswithjennifer@gmail.com
Aquabilities Putnam