Fields marked with an * are required

Student Information

Parent/Guardian Information

Parent/Guardian #1

Parent/Guardian #2 (Optional)

Student Comments

Parent Comments

Selection Process:

A selection process exists, as program space is limited to 24 students. Students will be chosen using the following criteria:

  • Program Suitability
    - Determined based on a swimming assessment and this program application.
  • Grade
    - Priority will be given to more senior grades
  • Enrolment Balance Between Schools
  • Application Date

Program Considerations:

  • Student is entering grade 9 or higher.
  • Student is 13 years of age or older at the start of the program.
  • Student is able to demonstrate proof of age, as it is a requirement for program certification.
  • Student is able attend the West Vancouver Community Center twice weekly on Tuesday and Thursday from 2:00 pm - 4:30 pm.
  • Student/Family recognize that they are responsible for arranging transportation to and from the West Vancouver Community Center if needed and that transportation costs are not included in the program fees.
  • Student/Family recognize that student absenteeism or non-participation will result in the student being unable to be certified for the external awards that are a part of this program.
  • Family is willing and able to pay the monthly course fee.
    - $100-150/month dependent on program registration
  • Student is willing to participate in a swimming ability assessment in the spring prior to program acceptance.
  • Upon program acceptance family is willing to complete a student medical information sheet and liability release form.