• Child's Name:

  • Current Level:

  • Class Day / Time / Instructor:

  • Assessed By:

  • Streamline kicks 10 yd. on front.

  • Streamline flutter kicks 10 yd. on back

  • Dolphin kicks 10 yd. on back

  • Swim's backstroke 25 yd.

  • Swim's freestyle 25 yd. with rotary breathing

  • Swims breaststroke 15 yd. (Correct full sequence - Pull Breath Kick Glide) - Arms should NOT be going to their hips. Kick should be correct with flat feet and toes out.

  • Swims butterfly 15 yd. ( Proper form for fly )

Comments / Corrective Actions:

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