Adaptive Swim Lessons

The Y’s Adaptive swim programs are designed to give children with disabilities opportunities to participate in swim lessons while focusing on developing both physical and social skills that will last a lifetime. We emphasize each person’s abilities and individuality and specifically design a swim program to foster independence while providing positive recreational and educational experiences for our participants.

Adaptive Swim Lessons Questionnaire

Thank you for interest for Adaptive Swim Lessons at the Torigian Family YMCA. Please complete this questionnaire so we can give you more information. Please expect a call from the Aquatics Director to go over your questionnaire. Classes will be ratio 1:1.

Child's Name(Required)

Parent or Guardian Name(Required)

Email(Required)

Phone(Required)

How does the swimmer communicate?(Required)

How is the swimmer at following direction? Can they follow 1, 2 or 3 steps?(Required)

Yes

Sometimes

What is the swimmer’s past swimming experience positive or negative?(Required)

What is the swimmer's experience with floatation devices (bubbles, lifejackets, etc.)?(Required)

Does the swimmer like or avoid water? Does he/she like or avoid movement?(Required)

What motivates the swimmer, particularly when it comes to doing things they prefer not to do? (music, humor, toys, competitiveness, etc.)(Required)

What do the parent and swimmer hope to accomplish through swim lessons?(Required)

Do you have a diagnosis that you would like to share or discuss?(Required)

CAPTCHA

Phone

This field is for validation purposes and should be left unchanged.

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Adaptive Swim Lessons

Adaptive Swim Lessons Questionnaire