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KIDS CLUB
SWIMMING ABILITY FORM
My child, _________________________________(print child’s name) is a
Initial One
Beginner swimmer – Baby Pool
Intermediate – O-depth pool
Intermediate Plus – up to 4 feet deep & slides
Advanced – 0 depth, slides, deep pool and diving
board
Date:____________ Client/guardian signature__________________________________
Children will be allowed to swim in the area as designated on this permission form. As
the child progresses in his/her swimming ability the client/guardian may choose to modify
the form.
If you have a Woodstock Water Works pool pass please bring it to Kids Club so that we
may make a copy of it.
KCSHARED.FORMS.SWIMABILITY