Naper Carriage Hill Swim & Racquet Club 

Swim Lesson Report Card 

Level Two 

1 

Meets Expectations 

2 

Emerging Skill 

3 

Unwilling to Try 

Swimmer ________________________________ 

Instructor ________________________________ 

All 1’s are required to proceed to the next level 

Skill                                                                                        

_____   Enter water independently by jumping or stepping from side. 

_____   Exit water independently using a ladder or the side. 

_____   Submerge entire head for 5 seconds. 

_____   Blow bubbles, submerging head in a rhythmic pattern (bobbing)  at least 5 times. 

_____   Open eyes underwater, picking up submerged objects in shallow  water three times without pausing between. 

_____   Show comfort maintaining an unassisted front float position  with face in the water for at least 5 seconds. 

_____   Recover from an unassisted front float to a standing position. 

_____   Demonstrate a front glide for at least 2 body lengths. 

_____   Show comfort maintaining an unassisted back float position  for at least 5 seconds. 

_____   Recover from an unassisted back float to a standing position. 

_____   Demonstrate a back glide for at least 2 body lengths. 

_____   Change direction of travel while paddling. 

_____   Roll from front to back. 

_____   Roll from back to front. 

_____   Demonstrate arm and leg movements for treading water in chest-deep  water for at least 10 seconds. 

_____   Swim unassisted on front using any combination of arm and  leg actions for at least 15 feet. 

_____   Swim unassisted on back using any combination of arm and  leg actions for at least 15 feet. 

_____   Discuss Reach, Throw, or Don’t Go 

_____   Discuss water safety rules and how to call for help. 

Exit Skills Assessment (if applicable) 

_____   Step from pool side into chest-deep water, move into a front  float for 5 seconds, roll over to a back float, return to a standing  position, then move into a back float for 5 seconds before  returning to a standing position. 

_____   Push off and swim using a combination of arm and leg  movements for 15 feet on the front, push off and swim using  a combination of arm and leg movements for 15 feet on back.   

Recommendation for next session: ____________________________ 

Instructor Signature: _______________________________________ 

* Please retain this copy for your own reference. 

Instructor Comments