Learn to Swim Program

June 16-27, 2025

The Learn-to-Swim Program is a two week program for anyone who has completed kindergarten or higher. The program divided into 5 levels* for each swimmer to receive the appropriate instruction for their abilities.

CLASS SIZES WILL BE LIMITED.

NO Registrations will be accepted after JUNE 13, 2025.

Level 1 - No previous experience in the water.

Level 2 - Completed Level 1 or wearing a floatation cube, jump into deep water and swim 25 yards

Level 3 - Completed Level 2 or wearing a floatation cube, jump into deep water and swim 25 yards blowing bubbles occasionally. Also wearing a cute, jump into water and swim 25 yards beginner back or back crawl.

Level 4 - Completed Level 3 or demonstrate 25 yards of front crawl, back crawl and beginner backstroke

Level 5 - Completed Level 4 or swim continuously for 300 yards demonstrating front crawl, back crawl, elementary backstroke, breaststroke, and sidestroke.

*Levels will be determined the first day of lessons*

Swimmer's Name

First NameLast Name

Swimmer's Grade (beginning Fall of 2025)

Swimmer's Age

Class Meeting Times (subject to change based on swimmers ability)

Levels 4-5 9:00 a.m.- 9:45 a.mLevel 2-3 10:00 a.m - 10:45 a.mLevel 1 11:00 a.m. - 11:45 a.m.

Parent Name

First NameLast Name

Phone Number

Please enter a valid phone number.

Email

example@example.com

Do you receive text at this number? *Only used for weather notifications*

YesNo

COST -Makes checks payable to the Hummelstown Swim Club. Payments can be mailed to Hummelstown Swim Club, 270 Linden Street, Hummelstown, PA 17036. PAYMENT DUE June 6, 2025*

Hummelstown Swim Club Member $75Non-Member $100

Please click yes if you will give permission to have photographs of your child taken

YesNo

CONSENT

I, the undersigned, give my consent to have my child enter the Learn-to-Swim program to be conducted by the Hummelstown Swim Club, and follow all rules specified by the Club and Program Supervisor. I understand that the Hummelstown Swim Club and Learn-to-Swim personnel are not responsible for the loss of property, no injury or death due to an accident.

Signature/Date