Background for Holiday Swim Camp

This web page was created programmatically, to learn the article in its unique location you possibly can go to the hyperlink bellow:
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Thank you for registering your baby for on of our vacation swim camps. We wish to do one of the best job potential educating your kiddo to swim. We’d like to collect info in your baby’s swimming background to be ready with the suitable skill-building sequence earlier than they arrive on the primary day.

Please take the time to fill out the shape under earlier than the beginning of the Holiday Swim Camp. If you will have issues with the shape or you will have different questions, please be at liberty to contact our office for assistance.

Profile Information

Child’s Birth Date (Provide as MM/DD/YYYY)

Email *

Phone *

Have your baby taken classes with Blue Dolphins up to now? *

How did you hear about us? *

Skills Background

Please overview the descriptions under to grasp the minimal necessities to be a part of every talent stage

Beginner: No abilities, not snug within the water, can solely swim just a few strokes with out stopping

Intermediate: Able to swim 10 yards on the back and front, float on the back and front for five seconds, can roll to the again for air

Advanced/Swim Team: Can swim a minimum of 50 yards of freestyle and backstroke and has the fundamentals of butterfly and breaststroke down.

Child’s Current Skill Level *

If you answered, YES, are you able to present us some extra element across the supply of your kid’s worry?

</p>
<p>Examples:  Bad expertise, no expertise, worry of deep water, and many others.</p>
</div>
<div id="wpforms-5401-field_21-container" class="wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show" data-field-id="21" style="display:none;"><label class="wpforms-field-label">Do your baby put his or her face within the water when swimming?</label></div>
<div id="wpforms-5401-field_22-container" class="wpforms-field wpforms-field-checkbox wpforms-conditional-field wpforms-conditional-show" data-field-id="22" style="display:none;"><label class="wpforms-field-label">What strokes can your baby at present do? (Check all that apply)</label></div>
<p><label class="wpforms-field-label" for="wpforms-5401-field_23">How far can your baby swim with out tiring?</label><select id="wpforms-5401-field_23" class="wpforms-field-medium" name="wpforms[fields][23]"><option value="A few strokes to 10 yards (CHANGE TO BEGINNER LEVEL)" class="choice-2 depth-1">A couple of strokes to 10 yards (CHANGE TO BEGINNER LEVEL)</option><option value="10 yards to 25 yards" class="choice-7 depth-1">10 yards to 25 yards</option><option value="25 yards to 50 yards" class="choice-3 depth-1">25 yards to 50 yards</option><option value="About 100 yards" class="choice-4 depth-1">About 100 yards</option><option value="About 1/4 mile" class="choice-5 depth-1">About 1/4 mile</option><option value="Half mile or further" class="choice-6 depth-1">Half mile or additional</option></select></p>
<div id="wpforms-5401-field_32-container" class="wpforms-field wpforms-field-checkbox wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger" data-field-id="32" style="display:none;"><label class="wpforms-field-label">Is your baby on a swim group?</label></div>
<p><label class="wpforms-field-label" for="wpforms-5401-field_33">What is the identify of your kid’s swim group?</label><input type="text" id="wpforms-5401-field_33" class="wpforms-field-medium" name="wpforms[fields][33]"/></p>
<p><h3 id="wpforms-5401-field_31">Additional Information</h3>
</p>
<p><label class="wpforms-field-label" for="wpforms-5401-field_24">Do you or your baby have any goals that you’re making an attempt to get out of the swim camp? <span class="wpforms-required-label">*</span></label><textarea id="wpforms-5401-field_24" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][24]" required=""/></p>
<p><label class="wpforms-field-label" for="wpforms-5401-field_34">We’re serving some easy, nut-free snacks.  Does you baby have any dietary restrictions that we must always learn about?</label><textarea id="wpforms-5401-field_34" class="wpforms-field-medium" name="wpforms[fields][34]"/></p>
<p><label class="wpforms-field-label" for="wpforms-5401-field_35">Does your baby have any studying difficulties, bodily incapacity, or emotional and behavioral difficulties? </label><textarea id="wpforms-5401-field_35" class="wpforms-field-medium" name="wpforms[fields][35]"/></p>
<p><label class="wpforms-field-label" for="wpforms-5401-field_12">Is there the rest that you’d need your kid’s teacher to learn about your baby?</label><textarea id="wpforms-5401-field_12" class="wpforms-field-medium" name="wpforms[fields][12]"/></p>
</div>
<p></p>
<p><input type="hidden" name="wpformstag:google.com,2013:googlealerts/feed:17288360967603046187" value="5401"/><input type="hidden" name="page_title" value="Background for Holiday Swim Camp"/><input type="hidden" name="page_url" value="https://chicagobluedolphins.com/holiday-swim-camp/background-holiday-swim-camp/"/><input type="hidden" name="url_referer" value="http://www.bing.com/"/><input type="hidden" name="page_id" value="2099"/><input type="hidden" name="wpforms[post_id]" value="2099"/><button type="submit" name="wpforms[submit]" id="wpforms-submit-5401" class="wpforms-submit" data-alt-text="Sending..." data-submit-text="Submit" aria-live="assertive" value="wpforms-submit">Submit</button></p>
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