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CYR Swim Form
All Participants must be able to swim 100m continuous and tread water for 10'
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* Indicates required question
Name of Participant
*
Your answer
Grade of Participant
*
6
7
8
9
10
11
Can you tread water for 10'
*
Yes
No
Can you swim 100m continuous?
*
Yes
No
I hereby state that I have passed all these test with a coach, parent, or lifeguard present
*
Your answer
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