Tri Swim School Swimming Lessons Waiting List Questionnaire

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Thanks for taking the time to let us know a few more details so we can get in touch to offer your child the correct class as soon as a space becomes available.

If you're registering two children please complete the from twice. Thank you ;-)

You'll hear from us by email as soon as we have a space!

电子邮件地址 *

Phone number *

Today's Date *

年

月

日

What's your child's current age bracket? *

3-12 months

1-2 years

2-3 years

3-4 years

Is you child scared of the water? *

Yes

Has your child had swimming lessons before? *

Yes

Do you take your child swimming regularly? *

Yes

Is your child comfortable with water splashing on their face? *

Yes

Can your child blow bubbles into the water? *

Yes

Can your child retrieve an object underwater? *

Yes

Does your child need any special assistance or have any diagnosis we should be aware of? If yes please provide details...

Anything else we need to know, suggestions or comments?!

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