Swim Assessment
Please answer the questions below to request a Swim Assessment time slot. 
Sign in to Google to save your progress. Learn more
Email *
Parent/ Guardian Name *
Participant Name *
Participant DOB *
MM
/
DD
/
YYYY
Phone Number *
Does your swimmer have any prior exposure to swimming? *
What program is the swim test for? (swim team, swim lessons, etc.) *
Please enter your fullest availability over the next two weeks. Our Swim Team Manager (swimteam@savj.org) will be in contact to offer you times within your availability that work for them as well. *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Jewish Education Alliance. Report Abuse