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Swim Lessons
Swim Lessons
Name
(Required)
First
Last
Phone
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Email
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Child's Name
(Required)
First
Last
Child's Age
(Required)
My child:
(Required)
(Please check the best description of your child)
is completely new to the water
is in the water seasonally or on occasion
is in the water monthly
is in the water weekly
has participated in a swim team
My child is:
(Required)
(Please check the best description of your child)
unsafely overconfident in the water
generally panicky/fearful in the water
generally uncomfortable in the water
generally comfortable in the water
confident in the water
My child can:
(Please check any that apply to your child)
blow bubbles in the water
submerge their face underwater
hold their breath underwater
submerge their whole body underwater
retrieve sinkies/toys from the pool floor ~2 feet deep
My child can:
(Required)
(Please check the best description of your child)
push off of the wall
propel themselves forward in the water (either by kicking with their legs or pulling with their arms)
swim less than 5 feet of front crawl/freestyle
swim more than 5 feet of front crawl/freestyle
My child can:
(Please check any that apply to your child)
swim front crawl/freestyle with proper breathing technique
swim equal to or greater than 15 feet of front crawl/freestyle
swim another stroke (backstroke, breastroke, butterfly)
perform a competitive dive
Goals for Swim Lessons (Part 1)
(Required)
(Please check ALL that apply)
I want my child to become safe in the water.
I want my child to get exposure to the water.
I want my child to overcome their fear of the water.
I want my child to become independent in the water.
None of the above
Goals for Swim Lessons (Part 2)
(Required)
(Please check ALL that apply)
I want my child to gain swimming endurance.
I want my child to learn a specific skill, technique, or stroke.
I want my child to refine a specific skill, technique, or stroke.
I want my child to join Ashby Swim Team or their Junior Anacondas program in the future.
None of the above
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