VBSLSC Preliminary Swim Form Upload
Please ensure swim form is named with your child's name and ideally age group. PDF or Word format/scans preferred if possible. Please complete all details.
Parent/Guardian Full Name
*
Mobile Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email address used for Nippers registration
*
example@example.com
Child First Name
*
Child Surname
*
Child Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Children do not need to successfully complete the swim assessment to participate in Nippers. The assessment helps us understand each child's swimming ability so we can provide appropriate water-safety supervision.
Has your child successfully completed the required swim assessment?
*
Yes
No
Location of swim assessment
*
Upload completed swim assessment
*
Upload a File
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Choose a file
Cancel
of
That's okay — your child can still participate in Nippers. Knowing which parts of the assessment they have not yet completed helps us plan appropriate water-safety supervision.
Which part(s) of the assessment were not completed, and any other comments
For example, which part your child found difficult, or anything the assessor mentioned.
Upload completed swim assessment form
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: