Swimming Ability
Your safety and the safety of all participants is our top priority. This declaration helps us ensure everyone on the water is prepared for potential emergencies.
Participant's Name
Date of Birth
Email
Please complete ONE of the following options:
Option 1: Swimmer Declaration
I declare that I have the ability to swim 50 yards, float and/or tread water for ten minutes, and successfully put on a life jacket while floating.
Option 2: Swim Test Confirmation
I confirm that I passed an in-person swim test demonstrating the ability to float and/or tread water for ten minutes, and put on a life jacket while floating.
Lifeguard name
Facility
Test Date
Option 3: Non-Swimmer Agreement
I acknowledge that I cannot meet the minimum swimming requirements and agree to provide and wear a properly fitted Personal Flotation Device (PFD) at all times while on the water.
Signature
Participant's Signature
*
Clear
REQUIRED For Minors
Parent/Guardian Name
Date
Parent/Guardian Signature
Clear
Submit
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