June 12 June 22 at the Phillips Community Pool

Summer Swim Lessons Registration Form

June 12 – June 22 at the Phillips Community Pool

Monday – Thursday (One Form Per Student)

A Note to Parents: Please remember that these lessons progress from basic skills to stroke refinement. ALL the levels are important for increased water safety. Also, it can take a few times to get through a level; this is normal. Like any new skill, it takes lots of practice to get good, and there is much to learn in each level. Open Swim Hours provide an opportunity to practice these skills in greater detail, either as fun family time, or by sending children over age 7 on their own. Additionally, see for more information. Students must have completed grade Kindergarten by the end of the 2016-2017 school year.

Pick from the following:

Level 100

BEGINNERS: This is the place to start. Learn to surface swim on your front and back. Children will utilize a buoyancy device in order to gain confidence in the water, and will wean from this support as they advance. Includes skills: First-time submersion, Breath holding, Front & back kicking, Paddle stroke, Underwater swim with a “Pop-up-breath.”

Level 200

SWIM--PREREQUISITE: Comfortably swim 15 feet without the aid of a floatation device, face in the water and breathing as needed.

In this level, learn to swim Freestyle (with side breathing) and the Backstroke. Includes skills: Kicking with kickboard, Back kicking, Stream- line kicking, Backstroke, Freestyle.

Level 300

ADVANCED SWIM STROKES--PREREQUISITE: Swim 25 feet of Front Crawl (with side breathing).

In this level, learn the Breaststroke and Butterfly. Includes skills: Refine the Freestyle and Backstroke, Whip kick, Breaststroke arm pattern, Breaststroke timing, Butterfly kick, Butterfly arms, Butterfly timing. Note: Breaststroke is a necessary skill for Lifeguarding courses.

Level 400

LIFESAVING STROKES--PREREQUISITE:Swim 25 feet of Front Crawl (with side breathing).

In this level, learn to swim Sidestroke and Elementary Backstroke. Includes skills: Scissors kick, Sidestroke arms, kick and timing, Backstroke kick, arms and timing, Treading kicks, Sculling arms for treading, Treading.

WINTER SCHOOL SWIMMING REGISTRATION FORM

Child’s Name: ______

(Last, First)

Level: ______Age: ______

Address: ______(Street) (City)

In case of emergency, contact:______(Name)

______(Relationship to Student) ______(Day Phone #)

If a serious accident or illness occurs, your child will be sent to an emergency medical

facility. The parent/guardian is responsible for all expenses.

Please list any and all concerns which you may have regarding this child’s participation in swimming activities. Include physical limitations or conditions (i.e. allergies, tubes in ears, etc.) as well as fears and past experiences that may affect water adjustment. ______

PERMISSION: I give permission to take photographs and/or video of my child for publicity purposes.

______(Parent/Guardian Signature)

______

(Date)