Swim School Level Questionnaire - Babies and Toddlers (ages 3 months

1

Please provide us with your contact detailsOur Customer Care Team will only use your contact details to contact you about enrollment into swimming lessons.

First name

Last name

Email

Phone

2

How old is your child?* This field is required.

3 months - 1 year old

1 year - 2 years old

2 - 3 years old

3

Can your child walk?* This field is required.

YESNO

4

Has your child had formal swimming lessons before?* This field is required.If you're unsure of the answer please select no.

YESNO

5

Please watch the video and then click next to answer the question

6

Is your child confident in the water and can they submerge?* This field is required.This question relates to the previous video. If you're unsure of the answer please select no.

YESNO

7

Please watch the video and then click next to answer the question

8

Is your child relaxed when being assisted to float on their back?* This field is required.This question relates to the previous video. If you're unsure of the answer please select no.

YESNO

9

Periwinkles - Thank you for taking the time to fill out this form. Your child is best suited to our Periwinkles level.* This field is required.Please click the image to proceed to the next screen.

10

Sprats - Thank you for taking the time to fill out this form. Your child is best suited to our Sprats level.* This field is required.Please click the image to proceed to the next screen.

11

Guppies - Thank you for taking the time to fill out this form. Your child is best suited to our Guppies level.* This field is required.Please click the image to proceed to the next screen.