Evaluation Request Form
Does your child know all 4 swim strokes? If so, please continue filling out this form. If not, then I recommend heading to our website www.gpacswimteam.org and checking out our Lessons program!
Parent's Name
First Name
Last Name
Contact Number
Please enter a valid phone number.
Email Address
example@example.com
How many children are you needing evaluated?
Please Select
1
2
3
4 or more
Are you transferring from another club where your child(ren) will have times we can research? (USA Swimming times or equivalent)
Yes
No
If yes, which club?
1. Child's Name
First Name
Last Name
Age
2. Child's Name
First Name
Last Name
Age
3. Child's Name
First Name
Last Name
Age
4. Child's Name
First Name
Last Name
Age
Is your child in high school?
Yes
No
We offer 2 different practice locations. Which would you prefer?
University of West Florida
Pensacola State College
What date and time work best for you? PSC- 4:00-5:00, UWF 4:30-5:30
Submit
Should be Empty: