Swim Team Evaluation Request Form

1

Parent's Name* This field is required.

First Name

Last Name

2

Parent's Email* This field is required.

example@example.com

3

Swimmer's Name* This field is required.

First Name

Last Name

4

What is your swimmer's age group?* This field is required.

13 & Under

14 & Over

5

Please indicate which you believe to be your swimmer's highest level of abilityHelps determine group placement.

Freestyle and/or Backstroke, but less than 25 yards

25 yards Freestyle and 25 yards Backstroke

50 yards Freestyle and 25 yards Backstroke

50 yards Freestyle and at least 25 yards of each competitive stroke (Back, Breast, Fly)

6

Based on your responses, your swimmer may be eligible for our pre-competitive training program. Would you like more details via email?

YESNO

7

Has your swimmer taken swim lessons in the past?* This field is required.

YESNO

8

When and where did your swimmer receive lessons?

9

Based on your responses, your swimmer is recommended for our swim lesson program. Would you like to be added to our contact list, to be notified when new Swim Lessons are available for registration?* This field is required.If yes, we will use the email address provided at the beginning of this form.

YESNO

10

Has your swimmer been on another swim team in the past?* This field is required.

YESNO

11

What type of team has your swimmer been on in the past?* This field is required.Select all that apply

USA Swimming

Rec

YMCA

Middle/High School

12

If yes, please enter more information about your swimmer's experience on their previous team/s that you would like to share with our coach/evaluator.* This field is required.Which team, when, time on the team, days/week of training, practices/day, length of practices, average yardage, best times, etc.

13

Please provide any additional information about your swimmer that you think would be helpful for us to know.* This field is required.