Child's Age: *
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Under 4 months
4 - 23 months
24 - 35 months
3 years old
4 years old
5+ years old
Is your baby able to hold their head up independently? *
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No
Yes
What is your child's swim experience? *
Select
Has not taken swim lessons
Can swim, but has not taken formal swim lessons
Can swim and has taken formal swim lessons
Can your child swim independently with their face in the water without wearing or using a flotation device? *
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No
Yes
How far can your child swim without any assistance? *
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Short distance (5-10 feet)
10 feet or further
How does your child take a breath when they swim? *
Select
Lift head straight up
Roll over on their back independently and/or breath to the side
What is your child's swim experience? *
Select
Has not taken swim lessons
Can swim, but has not taken formal swim lessons
Can swim and has taken formal swim lessons
Can your child swim independently with their face in the water without wearing or using a flotation device? *
Select
No
Yes
How far can your child swim without any assistance? *
Select
Short distance (5-10 feet)
10 feet or further
How does your child take a breath when they swim? *
Select
Lift head straight up
Roll over on their back independently and/or breath to the side
How does your child swim? *
Select
Dog paddle
Arms out of the water
Freestyle (bent elbows, side breath)
Can your child swim Backstroke? *
Select
No
Yes
Can your child do the Breaststroke Kick (aka Frog Kick)? *
Select
No
Yes
What is your child's swim experience? *
Select
Has not taken swim lessons
Can swim, but has not taken formal swim lessons
Can swim and has taken formal swim lessons
Can your child swim independently with their face in the water without wearing or using a flotation device? *
Select
No
Yes
How far can your child swim without any assistance? *
Select
Short distance (5-10 feet)
10 feet or further
How does your child take a breath when they swim? *
Select
Lift head straight up
Roll over on their back independently and/or breath to the side
How does your child swim? *
Select
Dog paddle
Arms out of the water
Freestyle (bent elbows, side breath)
Can your child swim Backstroke? *
Select
No
Yes
Can your child do the Breaststroke Kick (aka Frog Kick)? *
Select
No
Yes