• Image field 205
  •  - -
  • Format: 0000000000.
  • Student Details

  •  - -
  • Is {child_name} at school?
  • As of next year, has {child_name} started Primary School?*
  • Has {child_name} had any swimming lessons previously?*
  • Has {child_name} had any swimming lessons previously?*
  • Has {child_name} had any swimming lessons previously?*
  • Can {child_name} swim independently - no flotation aids?*
  • Can {child_name} swim 50m of all 4 strokes; freestyle, backstroke, breaststroke, butterfly and perform a tumble turn?*
  • Can {child_name} swim breaststroke?*
  • Can {child_name} swim 12m of freestyle and backstroke, perform a basic breaststroke and butterfly kick?*
  • Can {child_name} perform a basic breaststroke kick?*
  • Can {child_name} swim 12m freestyle with a basic breathing pattern?*
  • Can {child_name} swim independently and are they able to perform basic freestyle?*
  • Is {child_name} confident and able to swim independently?*
  • Can {child_name} swim freestyle with a basic breathing pattern and backstroke?*
  • Can {child_name} confidently swim freestyle and backstroke, basic breaststroke and butterfly kick?*
  • Is {child_name} confident and able to swim independently?*
  • Can {child_name} swim freestyle with a basic breathing pattern and basic backstroke?
  • An error has occurred with the form. Please select a location form the dropdown.

  • Should be Empty: