Swim School Assessment

Required fields are marked with an asterisk (*).

Parent's first name *

Parent's last name *

First Child's name *

First Child's age *

Second Child's name

Second Child's age

Third Child's name

Third Child's age

Phone *

Email *

What time/days suit for an assessment? *

Other comments:

Previous Experience

Has your child had swimming lessons before? *

• Yes
• No

If yes, please provide more details about your child's swimming ability.