Swim Lessons
Level 4
Naper Carriage Hill Swim & Racquet Club
Swim Lesson Report Card
Level Four
1
Meets Expectations
2
Emerging Skill
3
Unwilling to Try
Swimmer ________________________________
Instructor ________________________________
All 1’s are required to proceed to the next level
Skills
_____ Demonstrate a dive from a compact position on the side of the pool.
_____ Demonstrate a dive from a stride position on the side of the pool.
_____ Swim underwater for at least three body lengths.
_____ Demonstrate a feet first surface dive and submerge completely.
_____ Demonstrate a front float in deep water for at least 1 minute.
_____ Demonstrate a back float in deep water for at least 1 minute.
_____ Demonstrate an open turn using any stroke on front and pushing off in a streamline position.
_____ Demonstrate an open turn using any stroke on back and pushing off in a streamline position.
_____ Tread water using a modified scissors, breaststroke, or rotary kick and arm motions.
_____ Demonstrate freestyle for at least 25 yards.
_____ Demonstrate backstroke for at least 25 yards.
_____ Demonstrate butterfly for at least 15 yards.
_____ Demonstrate breaststroke for at least 15 yards.
_____ Demonstrate elementary backstroke for at least 15 yards
_____ Swim on side using scissor kick for at least 15 yards.
_____ Demonstrate a throwing assist using the ring buoy.
_____ Discuss rules for safe diving.
_____ Discuss water safety rules and demonstrate how to get help.
Exit Skills Assessment (if applicable)
_____ Perform a feet first entry into deep water, swim freestyle for 25 yards, float on back for 1 minute, and swim backstroke for 25 yards. All MUST be completed consecutively without interruption.
_____ Swim breaststroke 15 yards, tread water for 1 minute, and swim elementary backstroke for 15 yards swim without interruption.
Recommendation for next session: ______________________________
Instructor Signature: __________________________________________
* Please retain this copy for your own reference.