Darien YMCA Gymnastics Assessment Request Form
Thank you for your interest in gymnastics at the Darien YMCA.

A gymnastics assessment is a great way for parents and instructors to understand a child's current gymnastics ability so we can place them in the proper program. This will lead to a more positive experience for the child and create a safe, comfortable environment where the gymnast can learn, grow and thrive.

If you would like an assessment, please complete the questionnaire below. You will be contacted within 1 week to confirm a day and time for your child's assessment.

For further information, please contact Nicole Kapitan, Gymnastics Director at nkapitan@darien-ymca.org.  Thank you!
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Email *
Guardian First Name *
Guardian Last Name *
Guardian Email Address *
Guardian Phone Number *
Child's Full Name and Nick Name *
Child's Age *
What do you believe is your child's general gymnastics ability? *
Is your child currently enrolled in a Darien Y MCA gymnastics program? *
If so, please list the class name, day and time so we may coordinate an evaluation while the gymnast is already in the building.
Preferred Evaluation Day and Time. Select all available. We will call to coordinate a final eval time. Evaluations take about 1 hour to complete.
Clear selection
Self Evaluation- Stretch & Conditioning: Choose a skill level based the gymnast's current ability (The number listed is to be done in a row & in good form) *
Working on it
Can perform with Assistance
Can perform Independently
Straddle with nose to the floor
Pike with nose to knees
Bridge with shoulders over hands
5 bridge rocks showing straight legs
Left split
Right split
Middle split
20 second blank hold
10 push-ups regular
10 v-ups
10 hollow body rocks banana shape
10 second hollow hold
10 arch rocks superman shape
10 second arch hold
20 toe raises each, hand on hips
20 mat jumps
45 second handstand hold against wall
15 squat jumps
Self Evaluation- Floor Tumbling: Choose a skill level based the gymnast's current ability *
Working on it
Can perform with Assistance
Can perform Independently
Forward on the floor
Backward roll on the floor
T-level to handstand
Carwheel
Split jump, 90-degree minimum
Half turn
Back bend, kick-over, strong form
Bridge
Leaps, 90-degree minimum
Self Evaluation- Vault: Choose a skill level based the gymnast's current ability *
Working on it
Can perform with Assistance
Can perform Independently
Run, hurdle, straight jump
Jump handstand, flat back onto mat
Strong handstand shaping
Self Evaluation- Bars: Choose a skill level based the gymnast's current ability *
Working on it
Can perform with Assistance
Can perform Independently
Chin-hold, 10 seconds
5-10 chin-ups
L-hold, 10 seconds
Pull over, straight legs
Cast to back hip circle, strong form
Chin-up pullover
Glide swings, 3 with straight legs
Self Evaluation- Beam: Choose a skill level based the gymnast's current ability *
Working on it
Can perform with Assistance
Can perform Independently
Releve walks
Pivot turn, strong technique
Straight jump
Straddle-L, hold 5 seconds
Arabesque, good form, 3 seconds
T-lever in and out, strong technique
T-lever to 3/4 handstand
Stick dismount
Is there anything else you would like to share with us regarding your child's gymnastics experience or ability? Please write in below.
A copy of your responses will be emailed to the address you provided.
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