Swim Lessons
Level 5
Naper Carriage Hill Swim & Racquet Club
Swim Lesson Report Card
1
Meets Expectations
2
Emerging Skill
3
Unwilling to Try
Level Five
Swimmer ________________________________
Instructor ________________________________
All 1’s are required to proceed to the next level
Skills
_____ Demonstrate a shallow dive from the side.
_____ Demonstrate a shallow dive from the side, glide two body lengths, and begin any front stroke.
_____ Swim underwater for at least 15 yards.
_____ Demonstrate a tuck and pick surface dive, submerging completely.
_____ Demonstrate a front float in deep water for at least 2 minutes.
_____ Demonstrate a back float in deep water for at least 2 minutes.
_____ Demonstrate a flip turn while swimming on front.
_____ Demonstrate a flip turn while swimming on back.
_____ Tread water for at least 2 minutes using two different kicks: scissor, modified, or rotary kick.
_____ Demonstrate freestyle for at least 50 yards.
_____ Demonstrate backstroke for at least 50 yards.
_____ Demonstrate butterfly for at least 25 yards.
_____ Demonstrate breaststroke for at least 25 yards.
_____ Demonstrate elementary backstroke for at least 25 yards.
_____ Demonstrate sidestroke for at least 25 yards.
_____ Demonstrate a rescue with the shepherd’s hook
Exit Skills Assessment (if applicable)
_____ Dive into deep water, swim freestyle 50 yards with a flip turn, maintain a back float position for at least 2 minutes, and swim backstroke for 50 yards with a flip turn.
_____ Swim breaststroke for 25 yards, tread water for 2 minutes, and swim elementary backstroke for 25 yards.
Recommendation for next session: ________________________________
Instructor Signature: ____________________________________________
* Please retain this copy for your own reference.