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 taken swim lessons?
*
Yes
No
My child has not had swim lessons, but can swim
Can your child safely swim one length of the pool?
*
Yes
No
Can your child swim the 4 competitive strokes (choose all that apply):
*
Freestyle
Backstroke
Breaststroke
Butterfly
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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