Swim and Water Skill Certification

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When possible, a Lifeguard, Swim Instructor, or Certified Girl Scout Volunteer, administers a swim test prior to canoe/kayak activities. A swim test serves as a means to provide the Adults with a gauge of each Girl Scout's swimming ability should the canoe tip over.

Regardless of swimming ability, all Girl Scouts and Adults participating in canoe activities are required to wear a life jacket at all times.

Under certain conditions, a swim test may not be possible. Should this happen during the program your Girl Scout is participating in, we ask for verification of swimming abilities prior to participating in the water-based program.

Complete this form yearly OR when there is an increase in skill level OR when there is a growth spurt.

Email *

Girl Scout First Name *

Girl Scout Last Name *

First Name - Adult Completing Form *

Last Name - Adult Completing Form *

Email Address - Adult Completing Form *

Phone Number - Adult Completing Form *

Swimming Skill. Please select the section (Advanced, Beginner, or Non-Swimmer) that best describes your Girl Scout.

My Girl Scout is an advanced* swimmer. They can….

*To be classified as an advanced swimmer, a Girl Scout must meet all the criteria within this classification. If your Girl Scout does not meet all the criteria this classification, please move to the next level of classification.

jump into the water (feet first), rise to the surface and begin swimming towards the edge of a pool.

swim 100 yards (the length of a football field).

tread water for two minutes.

float for two minutes.

My Girl Scout is a beginner* swimmer. They can….

*To be classified as a beginner swimmer, a Girl Scout must meet all the criteria within this classification. If your Girl Scout does not meet all the criteria within this classification, please move to the next classification section.

jump into the water (feet first), rise to the surface and begin swimming towards the edge of a pool.

swim 50 yards (the length of half of a football field).

float for two minutes.

My Girl Scout is a Non-Swimmer. Below is a description of their swimming abilities, comfort level, and other information I would like to share in the event that their canoe/kayak should tip.

PFD Size Selection *

The following PFD sizes are labeled and sized by gender within the limits of the standardization of the industry. Any human can wear any PFD that fits properly. Please use the Weight and Chest Size combination for your Girl Scout to find the best fit.

Past Experience - Flat Water *

Indicate the approximate number of times this Girl Scout has participated in Flat Water Activities.

Past Experience - Moving Water *

Indicate the approximate number of times this Girl Scout has participated in Moving Water Activities.

What equipment does this Girl Scout (or Girl Scout's extended community) already own and will provide for their own adventures: *

PFD (Life Jacket)

Kayak

Canoe

Required

I understand my Girl Scout will participate in water-based programming (such as Swimming, Canoeing, or Kayaking) as part of High-Adventure Girl Scouting experience with Sasquatch Trailblazers. *

I attest that the information provided above is true and accurate.

Signature of Parent or Guardian *

Please type full name as your eSignature.

Date *

YYYY

A copy of your responses will be emailed to the address you provided.

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