Northshore Swim
690 Albert St.
Mandeville, LA 70448

Evaluation Form

 

Aqua Baby

Level 1

Level 2

Level 3

Level 4

Are you comfortable in the water?

 

 

 

 

Can you blow bubbles?

 

 

 

Can you splash with your feet?

 

 

 

Can you put your face underwater?

 

 

 

 

Can you control your emotions (no crying)?

 

 

 

 

Can you kick holding the kickboard?

 

 

 

 

Can you float on you back (with help)?

 

 

 

 

Can you swim to the instructor?

 

 

 

 

Can you come up for air?

 

 

 

 

Can you float on your back (unassisted)?

 

 

 

 

Can you perform a basic freestyle?

 

 

 

 

Have you completed the freestyle 10 yard swim?

 

 

 

 

Can you perform the backstroke?

 

 

 

 

Can you perform the basic breaststroke?

 

 

 

 

Can you perform the basic butterfly?

 

 

 

 

Have you completed the 10 yard swim
with the following strokes:

 

 

 

 

 

-Freestyle

 

 

 

 

-Backstroke

 

 

 

 

-Breaststroke

 

 

 

 

-Butterfly