Swimming Permission Form

This coming Summer Vacation Care, we are offering children free swimming acitvity in the pool around mid day. If you wish for your child/ren to attend this activity we request you to please fill in the following information. The child/ren need to bring in their own swimming togs, rash shirts, towels, goggles and everything else they will need for swimming.

What is Your Child's Level of Swimming Ability

LowAverageHigh

Does Your Child Require a Flotation Device?

YesNo

Date we will be swimming. Please tick the days you wish for your child to swim (take note of the grades that will be able to swim on that date)

07/04/2021 - Grades 4-608/04/2021 - Grades 2-313/04/2021 - Grades 4-614/04/2021 - Grades 2-3

Permissions:

I give permission for a Qualified Pool Lifeguard staff member from Ironside OSHC to supervise my child to go swimming in the Ironside State School swimming poolI am aware that the Ironside OSHC staff members do not provide swimming lessons and will not expect them to improve my child’s swimming skills or performance.I am aware that if my child displays behaviours that are dangerous to themselves or others they will asked to leave the pool and will not be able to participate in swimming for the remainder of Vacation Care

Parent's Name:

First NameLast Name

Child's Name

First NameLast Name

Email

example@example.com

Best Contact Number Throughout Vacation Care Period

Area CodePhone Number

Signature