Join Special Needs Swim ARCademy

Parents/Carers may consider completing their form which is intended to assist your child and their transition into Swimming Lessons with Swim ARCademy. This information you provide will be treated as private and confidential. It will only be used to assist the Instructor who will be taking the lessons.

What is the student's diagnoses?:

What's the best communication method for the student?:
What's the student's experience in the water?:
Is the student on a behaviour plan that we can support? (e.g. cue words, hand signals, picture schedule):
Are there any physical limitations the instructor needs to be aware of? :

Are there any specific reinforcements that help the student succeed at home or school?:
What goals do you have for the student in this program?:
Does your child have any defiant behaviours? (e.g. physical or verbal aggression):

What are some of the student’s interests that we can bring into the class? (e.g. trucks, mermaids, dolphins):
Are there any sensory issues that are particularly difficult for the student? (e.g. sound, touch, smell) :

I have read and accept the following terms and conditions: