• Fields marked with an * are required

    Student Information

  • Date of Birth
  • 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 to attend the West Vancouver Community Center twice weekly on Tuesday and Thursday from 2:00 pm - 4:30 pm. Please note that due to the Covid-19 pandemic, program times are subject to change.
    • 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.
  • Please note: you should receive a confirmation email within 24 hours indicating your form has been successfully submitted. Please contact Dave Dickinson if you do not receive an email to confirm that your application has been received.


Dave Dickinson
FAST Program Leader

Rockridge Secondary School
5350 Headland Drive
West Vancouver, BC
V7W 3H2


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