Swimming Permission

Child's Name
I have indicated above  if I give my child permission to take the swim test that consists of: 1) swimming 30 ft aross the pool 2) treading water for 30 second  with a 5 sec back float  3) swimming an additional 2 lengths of 30 ft
Sign above
5 + 5 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.