Discovery YPW Trial & Assessment

1

Swimmers Name* This field is required.

First Name

Last Name

2

Which of the following strokes can you do with competence (50m or more)* This field is required.Select as many as you like

Freestyle

Backstroke

Breaststroke

Butterfly

3

Swimmers need to demonstrate proficiency in at least three strokes for the squad trial and assessment. We suggest an assessment with our Yarra Swim School teaching staff for {swimmersName:first} at this time.

Please continue to request a callback from our customer service team.

4

Date of Birth:* This field is required.

Date

5

Current Date* This field is required.

Date

6

AGE* This field is required.

7

Current Swimming* This field is required.

Learn to Swim

Swim Club

Other

8

Name of {currentSwimming}* This field is required.

9

Swimming PBsIf you haven't had any racing experience, please leave this section blank. If you have competed in any swim meets before, please share your experience or recorded times.

10

Are you able to dive from the starting block?* This field is required.

Yes

No

Other

11

What are your swimming goals?* This field is required.select all relevant to you

Compete regularly in swim meets

Fitness and endurance

Technique and efficiency

Starts and turns

Confidence and comfort in the water

Competitive training methods

Open water swimming

Selection for a school team

Other

12

Trial & Assessment

13

Parent/Guardian Name* This field is required.

First Name

Last Name

14

Mobile* This field is required.

Please enter a valid phone number.

15

Email* This field is required.

example@example.com

16

How did you hear about our swim club?* This field is required.