Learn to Swim Eval

Form*

Swim Evaluation

Parent Name*
First Last
Child Name
First Last
Child 2 (Optional)
First Last
Child 3 (Optional)
First Last
What Age Group(s)*
- 6 months - 2 Years
- 2 years - 3 years
- 3 years - 4 years
- 5 years - 14 years
- 15 years +
Phone
Email
Date
Date Format: MM slash DD slash YYYY