Nationwide Aquatic Data Working Group – Interest Form
Building real-time data for early childhood aquatic education, trauma-aware instruction, and inclusive teaching.
Email
example@example.com
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Your Professional Role (select all that apply):
Swim Instructor
Adaptive/Inclusive Aquatics Instructor
Aquatic Supervisor / Manager
Clinician (OT, PT, SLP, BCBA, Psychologist)
Early Childhood Specialist / EI Provider
Swim School Owner
Researcher / Academic
Lifeguard Instructor / Safety Educator
Other
Primary Facility Type (select all that apply):
Private swim school
Independent instructor
Home-based / mobile instructor
YMCA /YWCA/ JCC nonprofit
City or county parks & recreation
Medically based facility (hospital, therapy clinic)
Aquatic center / multi-use facility
Other
Years of experience in aquatic instruction:
0-2
3-5
6-10
10+
Are you interested in contributing to a nationwide project documenting real-time swim lesson data in early childhood aquatic instruction?
Please Select
yes
Possibly- want more information
not sure
What interests you about this initiative?
Which areas are you most excited to contribute to? (select all that apply):
Instructor observations
Trauma-aware & somatic strategies
Inclusion & adaptive methods
Behavior patterns in learning
Skill progression + water competency
Facility/environment impact
Data collection design
Research writing / publication
Supporting instructor training
Other
Age groups you currently teach (select all that apply):
Please Select
Babies 18 months and younger
Toddlers 18 - 36 months
Preschoolers 3-5 years
Early School age 6-9
Tweens/Teens
Adults
Adaptive/neurodivergent
trauma-informated/fearful learners
Lesson Format:
Please Select
Private
Group Small (3-5)
Group Large (6-8)
Group Extra Large 8 or more at once
Semi Private (2 at once, not three)
Parent/Child Classes
Adaptive Lessons
Mixed formats
Current lesson frequency you teach (approx.):
Please Select
1-5 lessons per week
6-15 lessons per week
16-30 lessons per week
30+ lessons per week
Are you willing to record simple, structured information (via form or spreadsheet) before, during, and after lessons?
yes
yes, but i need support/training
maybe
not at this time
What tools do you currently use to track student progress? (select all that apply):
none- i need a system
My own notes
Skill Checklist
Swim School's internal system
spreadsheets
apps/ digital tools
Other
Do you have interest in being part of early pilot testing?
yes
maybe
not at this time
Preferred communication:
Email
Zoom/online meetings
Skool/FB group updates
Text message
Are you comfortable being included in a working-group database for coordination?
yes
yes, but keep my information internal
no
Anything else you want us to know? (open text)
Submit
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