Can Swim – Infant – Pre Program Form

Congratulations on being selected to participate in our Can Swim – Infant 3 day water familiarisation program, beginning Monday 19th February at PARC.

As a part of the program, we ask each participant to complete the following Pre Program questions for yourself and on behalf of your infant.

Data collection is a vital part of our program planning to assist and inform us in future programming. Data provided in surveys is invaluable.

Can Swim: Infants - Pre Program Questions

Participant (Parent) Name(Required)
Participant (Parent) Date of Birth(Required)
Participant (Infant) Name(Required)
Participant (Infant) Date of Birth(Required)
Have you (parent) ever had regular weekly swimming lessons?(Required)

Do you regularly use a backyard swimming pool?(Required)
Do you regularly go to one or more of the following:(Required)
Who do you normally go swimming with?(Required)
Do you know how to perform CPR?(Required)

Have you ever taken your baby swimming before?(Required)
Do you know how to hold your baby safely in the water?(Required)