Swim Level Assessment Form

Please fill out the form below and we will get back to you right away!

Child's Age: *

Is your baby able to hold their head up independently? *

Is your child comfortable in the water without a parent, but can’t swim independently?*

Can your child swim independently with their face in the water without wearing or using a flotation device?*

How far can your child swim without any assistance? *

How does your child take a breath when they swim? *

Can your child swim independently with their face in the water without wearing or using a flotation device? *

How far can your child swim without any assistance? *

How does your child take a breath when they swim? *

How does your child swim? *

How does your child take a breath when they swim? *

How does your child swim? *

Can your child swim Backstroke? *

Can your child Streamline Kick on Stomach and Back? *

Can your child perform the Breaststroke Kick and Dolphin Kick?*

Can your child swim Simple Freestyle continuously for 2 mins? *

Can your child swim independently with their face in the water without wearing or using a flotation device? *

How far can your child swim without any assistance? *

How does your child take a breath when they swim? *

How does your child swim? *

How does your child take a breath when they swim? *

How does your child swim? *

Can your child swim Backstroke? *

Can your child Streamline Kick on Stomach and Back? *

Can your child perform the Breaststroke Kick and Dolphin Kick?*

Can your child swim Simple Freestyle continuously for 2 mins? *

It's Time To
Take a Swim!

Goldfish Swim School - Nicholasville Rd., Lexington

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