Permission Slip For Swimming

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Permission Slip For Swimming sample:
Children registered for the 3 & 4 year old Early Childhood Programs, as well as Kidsplace, will be
scheduled for classroom group swim lessons throughout the year.
Children registered for toddler classes and older in the Early Childhood Program will participate in the
Summer swim program. Participation of the younger toddlers will be based on screenings by the
swim instructors and lifeguards as to readiness and safety.
All participants must fill out this form. Please initial your preference in the box.
I give my child permission to participate in the swim program.
I do not give permission for my child to participate in the swim program.
Child’s Name:_______________________________________________________________________
Parent/Guardian Name:_______________________________________________________________
Parent/Guardian Signature:____________________________________________________________

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