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Child’s Personalized Swimming Portfolio – Intake Form
What This Intake Form Covers
Child Basics & History
Name, age, diagnosis, and past lessons (what worked or didn’t).
Sensory & Behavior
Comfort levels with sound, light, and touch, plus calming strategies.
Communication & Learning
How your child communicates, prefers to learn, and what motivates them.
Interests & Movement
Favorite activities, strengths, and motor skills in and out of the water.
Emotions & Safety
Water comfort, anxiety levels, and any specific medical or safety concerns.
Parent Goals & Vision
Your personal goals and the specific pool setup that works best.
Format & Support
Options for “friend-instructors” and our collaborative video recording format.
Fees & Funding
Sliding-scale rates and funding options (e.g., BC Autism Funding).
You can share as much detail as you’re comfortable with. Your answers help us build a safe, personalized swim plan.
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