2020 Swimming Ability Assessment Form

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As you are aware, tighter regulations were introduced by the NSW State Government in an attempt to improve safety at school swimming carnivals and school based swimming lessons. Therefore, it is now a requirement that parents assess their child’s swimming ability at the start of any water based program.
With our Term 1 Swimming Carnival on Thursday 6th February 2020, we need this google form filled out to the best of your ability by FRIDAY 6th DECEMBER, 2019. No St Edward’s child will be allowed access to a public swimming pool for a school based event before this form has been completed.
If you have more than one child enrolled at St Edward's please complete a separate form for each child.
If your child is in Year 2 in 2020 and can competently swim 50m he/she is able to participate in the Swimming Carnival so we encourage you to complete the google form below. If Year 2 students in 2020 cannot swim 50m they are not required to attend the carnival therefore you DO NOT need to complete the google form.

Student Name *

Student Date of Birth *

YYYY

Student House Colour *

Student grade in 2020 *

Year 2 in 2020 (Only Year 2 children who are able to swim 50m)

Year 3 in 2020

Year 4 in 2020

Year 5 in 2020

Year 6 in 2020

Parent/Carer's name completing this form *

My child is a non-swimmer and I would like him/her to participate in structured games and activities in the shallow end of the pool. This will be under supervision of teachers and volunteer parents. *

Yes

Freestyle *

My child can swim 50 metres (half of the pool)

My child can swim 25 metres (half of the pool)

My child CANNOT swim 25 metres (half of the pool)

Breaststroke *

My child CANNOT swim 25 metres (half of the pool)

My child can swim 25 metres (half of the pool)

My child can swim 50 metres (full length of the pool)

Backstroke *

My child CANNOT swim 25 metres (half of the pool)

My child can swim 25 metres (half of the pool)

My child can swim 50 metres (full length of the pool)

Butterfly *

My child CANNOT swim 25 metres (half of the pool)

My child can swim 25 metres (half of the pool)

My child can swim 50 metres (full length of the pool)

I would like to nominate my child to participate in the 200 Individual Medley. This requires 4 laps of the pool (1 x Freestyle, 1 x Breaststroke, 1 x Backstroke, 1 x Butterfly) *

Yes

I would like to nominate my child to participate in the 100m Freestyle event? *

Yes

Please provide any additional information which you believe may be beneficial in gaining an assessment of your child’s swimming ability.

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