summit swim questionnaire 2018/19 sY

This swim questionnaire must be completed by all new admissions to Summit’s Lower School.

Student Name *
Student Name
Parent/Guardian Name *
Parent/Guardian Name
Does your child know how to swim? *
Has your child ever received formal swim instruction? *
Has your child passed any American Red Cross swimming tests? *
Does your child have any physical or health-related concerns pertaining to swimming of which we should be aware? *
Does your child have any fears or anxieties associated with swimming? *
Date Submitted
Date Submitted