Self-Assessment

How old is your child?(Required)

3-9 months

10-17 months

18-23 months

25-36 months

3-5 years

6-12 years

Have you completed a formal Parent & Tot swim class?(Required)

Yes

No

Can your child put their face in the water for 5 seconds independently?(Required)

Yes

No

Are they able to kick with their face in the water?(Required)

Yes

No

Are they able to kick independently on their front and back for 5 seconds?(Required)

Yes

No

Can your child do basic front crawl and back crawl for 5m independently?(Required)

Yes

No

Is your child able to keep their head above the water in a stationary position (treading water) for 30 seconds?(Required)

Yes

No

How does your child take a breath when they swim?(Required)

Roll to Back

Side Breathing

Can your child do whip kick?(Required)

Yes

No

Can your child do elementary backstroke for 25m?(Required)

Yes

No

Can your child do breaststroke for 25m?(Required)

Yes

No

Name(Required)

First Last

Email(Required)

Phone

Swim Self-Assessment