Swim Lesson Registration 2016
Swim Lessons for 2016 will be held over a three week period in June. Each class will be a 30 minutes session for 5 days held in the morning hours on Monday - Friday. All registrations are due before Monday June 6th. Classes and times will be set after registration is complete and class list will be posted on Friday June 10th.
Swim Lesson Session
May choose to enter in more than one session.
$25 - Monday June 13th through Friday June 17th
$25 - Monday June 20th through Friday June 24th
$25 - Monday June 27th through Friday July 1st
My child has participated in swim lessons at Lexington Pool in the previous years.
If previous answer is yes, please indicate the level of lesson completed (if known)
Never taken lessons at Lexington
Taken lessons but I am unsure of the level
Please review the following list and check all skills that your swimmer has mastered.
Can fully submerge face for over 3 seconds
Able to float on front/back supported
Able to float on front/back unsupported
Enter and exit water independently
Move through the water comfortably
Retrieve objects in chest deep water
Jump into deep water from the side of the pool
Flutter kick on front/back
Combine stroke front/back using kick/arm movements for more than 5 yards
Able to tread water
Basics of breaststroke
Butterfly Dolphin Kick for 10 yards
Front/Back crawl for 25 yards
Consent of Parents or Guardian - I/We, the undersigned parent or legal guardian, do hereby verify the information in this registration form and consent to the participation of my/our child in this activity. I/We understand that neither the Lexington Park District nor any of its commissioners, officers, program directors, sponsors not employees assume responsibility for any injury or damage to person or property resulting from an incident occurring during conduct of the Lexington Park District program including games, meets practices, clinics and other related activities and events. In case of emergency, I/we hereby consent to medical treatment for my/our child and authorize any member of Lexington Park District to sign necessary papers and documents authorizing hospitals and physicians to proceed to render medical care.
I agree to this consent
A parent, guardian or babysitter must be present during lesson. The child is not to enter the pool before the lesson has begun and must exit the pool when lesson is completed for safety reasons.
Never submit passwords through Google Forms.
This form was created inside of Lexington CUSD #7.
Terms of Service