Swimming Attestation Form – Mentee

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Name (Parent/Guardian's Name)(Required)

First Last

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the parent/guardian of

Name (Child's Name)(Required)

First Last

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My child(Required)

Has taken swimming lessons

Has not taken swimming lessons, but can swim on their own with the supervision of their Mentor

My child(Required)

Requires a lifejacket to swim

Does not require a lifejacket to swim

If swimming lessons have been taken, what level was achieved?

Signature of Parent / Guardian(Required)

Date(Required)

This is a reminder that matches are prohibited from swimming together in open water and partaking in open water activities. This includes swimming at the beach, canoeing, kayaking, all boats, sea-dooing, snorkeling, scuba or other diving, waterskiing/boarding, or any other activity that may take place in open water. Anything other than a pool is considered open water, including human-made lakes. Matches may swim together in pools, but this is considered a Permitted High-Risk Activity, and the following action must take place. Mentors may request to engage in a Permitted High-Risk Activity directly with their Mentoring Coordinator each and every time they wish to engage in this activity.

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Comments

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