Child's Name:

Current Level:

Current Day / Time / Instructor:

Assessed By:

Swims freestyle 50 yd. with rhythmic breathing

Swims backstroke 50 yd.

Flip Turns

Swims butterfly 25 yd.

Swims breaststroke 25 yd.

Legal turns for each stroke

Legal finishes for each stroke

Comments / Correct Action:

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.