WOSHC Summer VC - Swim Days form

Dear Parents/Carers,

To inform WOSHC of your child's swimming ability for the upcoming Summer Vacation Care swim days, please complete the 'WOSHC Swim Days' form PER CHILD, AT THE TIME OF BOOKING (if booking on the relevant swim day).

This is NOT a formal swimming lesson, however we require this information to best support your child in the pool.

Please Note: As per school pool rules, all children MUST wear swimming caps whilst in the pool.

The shallow end of the pool is 0.85 - 1.5m. For safety measures, age groups will be restricted to the following sections of the pool. Please see below details relating to the grades your child will be in during 2025:

Prep	Shallow end to the first set of flags
Year 1	Shallow end to the first set of flags
Year 2	Shallow end to the middle of the pool
Year 3	Shallow end to the middle of the pool
Year 4	Whole pool
Year 5	Whole pool
Year 6	Whole pool

Note: This is only a guide for safety measures. There will be flexibility for more confident swimmers. If your child has a limited swimming ability, they may be required to remain in a shallower section of the pool.

Name*

First NameLast Name

Child's Age*

Child's Class*

Please select the relevant box indicating your child's swimming ability:*

Non-Swimmer. No swimming ability, has never attended swimming lessonsLimited Swimmer. Able to walk through shoulder height water.Capable Swimmer. Able to perform basic strokes to propel themselves through water without standingConfident Swimmer. Confident in performing various swim strokes.

Can your child put their head under the water and blow bubbles?*

YesNo

Can your child do swordfish/tornado (2-hands out in front, kicking with their legs)*

YesNo

Can your child tread water for at least 30 seconds? (Tread water is when you can keep your head above water by 'running legs & digging arms' motions)*

YesNo

Can your child dog paddle for 6 meters?*

YesNo

Can your child kick on their back for 6 meters?*

YesNo

Can your child duck dive to the bottom of 1-metre deep water?*

YesNo

By signing this form, I agree that I have read all the information contained in this form relating to this activity. I give permission for my child to attend the above swimming activity.

Parent/Carer Name*

First NameLast Name

Parent/Carer Contact Number*

Please enter a valid phone number.

Parent/Carer Email*

example@example.com

Parent/Carer Signature*

Wishart Outside School Hours Care

An individual WOSHC Swim Day 'ability form' must be completed for each child participating in the swimming sessions

Child's Details

Child's Swimming Ability

Parent/Carer Authorisation