Rushmore Swim Team - New Swimmer Questionnaire
Your Name
*
First Name
Last Name
Your Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Your Email
*
example@example.com
How did you hear about Rushmore Swim Team?
*
Swimmer's Name
*
First Name
Last Name
Age/Grade
*
Will this be the first time your child has been on a competitive swim team?
*
Yes
No
Has your child passed swim lessons?
*
Yes
No
My child has not had swim lessons, but can swim
What is the highest level of swim lessons your child has completed?
*
When did your child last complete swim lessons (mo/yr)?
*
Can your child swim at least 25 yards (1 length of the indoor pool) in both the freestyle (front crawl) and backstroke, without stopping and without assistance?
*
Yes
No
Can your child swim the 4 competitive strokes for the following distances (choose all that apply):
*
Freestyle (50 yards)
Backstroke (50 yards)
Breaststroke (25 yards)
Butterfly (25 yards)
My child cannot currently swim any of these at the distances provided
Please provide the name, location, and contact information for the coach of your child's previous swim team and their former level (if known).
Submit
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