Swimmer Name: *
Swimmer Age: *
Has your child had swimming lessons before? *
Can your child float on their front or back? *
Can your child swim 5m - 10m? *
Can your child put their face in water? *
Is there anything that scares your child while in the water? *
Can your child listen to instructions without a parent present? *
Does your child have any medical condition? *

Beginner Swimming Lessons