Class 5: Safety at the Pool and Beyond

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Please answer the following questions to confirm completion of Swim Safe at Home Class 1. Incorrect answers have NO impact on receiving your life jacket and water safety resource bag after all 6 classes. *IF YOU HAVE MULTIPLE CHILDREN IN YOUR HOUSEHOLD WHO PARTICIPATED IN THE COURSE, PLEASE FILL OUT A SEPARATE FORM FOR EACH CHILD*

Participants First Name *

Participants Last Name *

Participants Age *

Caregiver First and Last Name

Contact Email Address *

What platform did you use to access this Swim Safe at Home class? *

Zoom

Facebook

Fort Worth Drowning Prevention Coalition Website

What important information should you collect for your water safety plan? *

Where is one place you can post your water safety plan where the whole family can see it? *

What does YELL GO TELL mean? *

How can you act out your safety plan? *

by reciting your address

practice calling 911 and what to say

practice what to say when you see an emergency

All of the above

Will you take another FWDPC class? *

Yes

Your feedback is important to us! We'd love to hear more about your experience in our class, and any feedback to improve the course

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