Greenbank

Child 1 is 3 years old or older

Yes

No

Complete if child 1 is over 3 years old. Tick all that apply.

My Child Has Some Fears Around Water or Swimming Lessons

Can Put Eyes in Water

Can Float

Can Dog Paddle 3-4 metres

Can Attempt Freestyle Arms

Can Perform Freestyle & Side Breathing

Can Perform All 4 Strokes

I'm Unsure and Would Prefer an Assessment

Child 2 is 3 years old or older

Yes

No

Complete if child 2 is over 3 years old. Tick all that apply.

My Child Has Some Fears Around Water or Swimming Lessons

Can Put Eyes in Water

Can Float

Can Dog Paddle 3-4 metres

Can Attempt Freestyle Arms

Can Perform Freestyle & Side Breathing

Can Perform All 4 Strokes

I'm Unsure and Would Prefer an Assessment

Child 3 is 3 years old or older

Yes

No

Complete if child 3 is over 3 years old. Tick all that apply.

My Child Has Some Fears Around Water or Swimming Lessons

Can Put Eyes in Water

Can Float

Can Dog Paddle 3-4 metres

Can Attempt Freestyle Arms

Can Perform Freestyle & Side Breathing

Can Perform All 4 Strokes

I'm Unsure and Would Prefer an Assessment