Swimming Permission Form

This coming Spring Vacation care period we would like to offer students the opportunity to go for a swim in the middle of the day. If you would like your child to participate in this please fill out the following information. Be advised that your child would need to bring their own togs, towels, goggles and anything else they would need for swimming.

What is Your Child's Level of Swimming Ability

Low Average High

Does Your Child Require a Flotation Device?

Yes No

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 pool I 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 Name Last Name

Child's Name

First Name Last Name

Email

example@example.com

Best Contact Number Throughout Vacation Care Period

Area Code Phone Number

Signature

Clear