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We wish you a Happy Family Day! Our building hours for Monday, February 17 are 8:00am to 4:00pm. Note: The Steven Blitz Aquatics Centre will close at 3:30pm.
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JSwim Intake Form

Calgary JCC > JSwim Intake Form

JSwim Intake Form

CHILD'S INFORMATION

Name(Required)
DD slash MM slash YYYY

PARENT/GUARDIAN INFORMATION

Name(Required)
Are you a member of the Paperny Family JCC?(Required)
Has your child taken swimming lessons before?(Required)

LEVEL INFORMATION

Is your child comfortable putting their face in the water?(Required)
Is your child comfortable swimming without the assistance of an instructor?(Required)
Can your child perform swimming skills without a floatation device (lifejacket, aqua belt, water wings, pool noodle, or flutter board)?(Required)
Can your child perform a float by themselves for five seconds?(Required)
Can your child perform flutter kick by themselves for five metres?(Required)
Does your child have the coordination to demonstrate front crawl for 10 metres?(Required)
Does your child have the coordination to demonstrate back crawl for 10 metres?(Required)
Does your child have the coordination to demonstrate whip kick for 10 metres?(Required)
Can your child comfortably swim with their face in the water and breathe to the side for a full 25 metres?(Required)
Can your child perform breaststroke rhythmically (pull, breathe, kick, glide) for 25 metres?(Required)
Can your child swim 300 metres continuously?(Required)
Is your child comfortable jumping or rolling into water deeper than their body?(Required)
Can your child tread water with their head, ear, and jaw line out of the water?(Required)

DAY AND TIME PREFERENCES

Please indicate a minimum of three days with a two-hour window that you would like to register.
Preferred Days
Select between 3 and 9 choices.

MEDICAL INFORMATION

Today Open until 8:00 pmToday Open until 8:00 pm about us

(403) 253-8600

Today Open until 8:00 pm

Tomorrow Open from 8:00 am to 8:00 pm

Monday Open from 8:00 am to 4:00 pm

Tuesday Open from 5:30 am to 9:30 pm

Wednesday Open from 5:30 am to 9:30 pm

If you need assistance at any time, call:

(403) 253-8600