SNUGS Child Registration
Email penn@snugsnational.org if you have any questions

Thank you for your interest in SNUGS! We are undergraduate volunteers that provide free one-on-one swim lessons in the Pottruck Health and Fitness Center in University City, Philadelphia on Sunday mornings.
 
Child must be between 3-18 years of age and have an intellectual and/or developmental disability.
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Email *
If you are signing up more than one child, fill out this survey separately for each child.
Submit a separate survey and separate medical forms for each child.
Name of Parent/Guardian (First and Last) *
Name of Child (First and Last) *
Child's Age (number) *
What is your child's disability (name diagnosis if one)? *
Rate the severity of your child's disability *
Very high functioning
Very low functioning
Describe your child's disability and behavioral tendencies below. *
As a parent/guardian, how do you hope to see your child benefit from SNUGS? *
Are there any special considerations/precautions we should take when working with your child?
Would you like to register for our Fall or Spring sessions? *
Have you completed and submitted the required medical forms? *
We would love it if you could spread the word about our organization within Philadelphia and across the nation (www.snugsnational.org)! Please share our flyer and this form to anyone you think would be interested.
Submit a separate survey and separate medical forms for each child.
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