2022 Swimming Program Permissions and Information

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Please complete once for each of your children participating in the swimming program (Foundation -Yr 4)

Student First Name *

Student Last Name *

Student's Class *

Foundation F (Mrs Hoy)

Foundation G (Mrs Chapman)

1J (Mrs Watkin)

1K (Miss French)

2H (Mrs Kilduff)

2I (Ms Lloyd)

3D (Mrs Everitt)

3E (Mrs Toner & Mrs Aikman)

4C (Ms Hurley)

4L (Mr Griffith)

Parent's Full Name *

Parent Mobile Number (best contact in case of emergency) *

Parent email address (to be provided to swimming school co-ordinator) *

Please read the below questions - when you answer NO that is your swimmer's level in our program. Check the box below that your swimmer is corresponding level. *

STARFISH

SEAHORSE

PENGUIN

TURTLE

SEAL

DOLPHIN

ORCA

JUNIOR SQUAD

DEVELOPMENT SQUAD

Required

I wish to purchase a swimming cap from Maccabi Aquatics fo $10. *

Money for caps to be sent to school by Wednesday May 11 in labeled sealed envelope.

Yes

Please outline any temporary/permanent medical problems of which the Swimming Staff or your child’s teacher should be aware.

I give permission for my child to participate in the nine day intensive swimming program which will be held at the Bialik Swimming Centre, from Monday May 16 to Friday, May 27, 2022. I understand that students will travel to and from Bialik College by bus and that they will be adequately supervised. I authorise the teacher in charge to consent, where it is impractical to communicate with me, to my child receiving such medical, surgical treatment or transport, as may be deemed necessary. *

Yes, I give permission

No, I do not wish for my child to participate in the program

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