Yanco Agricultural High School

Student Details

Student First Name *

Student Last Name *

Student Year Group *

Calendar Year that Form Applies to: *

Advice

In a residential school such as Yanco Agricultural High School structured and unstructured swimming activities (free swimming) occur in the school pool during the school and residential hours of the school year.

Parents are required to provide written permission annually to enable their child/children to participate in structured and free-swimming activities.

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Prior to participation all students nominated on this form by their parent/caregiver as a swimmer will be required to participate in an aquatic pre-activity water survival challenge to look at your child’s aquatic proficiency.

The aquatic pre-activity Water Survival Challenge comprises the following continuous progression – a slide in entry, a walk of 5m in shallow end of pool, a swim of 25 metres using a recognised stroke and 1 minute float, scull or tread water in deep water followed by an unassisted exit.

Students nominated by their parent/caregiver on this form as a non-swimmer will not be allowed in deep water and will not have to do the water survival challenge.

At the completion of the Water Survival Challenge your child will be issued with either:

Blue wrist band allowing them to participate in deep water unstructured activities
Yellow wrist band allowing them to participate in shallow water (waist deep) activities.

Any student who is not permitted to go in the water or is not able to walk safely in the water with balance and stability will not take part in any water activities.

All activities will take place at one of the following venues:

YANCO AGRICULTURAL HIGH SCHOOL SWIMMING POOL

LOCAL POOLS: (LEETON POOL; NARRANDERA POOL; GRIFFITH POOL & OTHER TOWN POOLS)

Response

Please select one answer: *

My child is: (please select the correct response) *

My child is permitted to go in the water at the following pools: (multiple responses can be selected) *

*Please note:

Non – swimmers will only be allowed in shallow water (waist deep).

Swimmers will be allowed in deep water.

Students without parental permission and/or completion of water survival challenge will not be permitted within the pool area.

Parent/Carer Submission

Parent/Carer First Name *

Parent/Carer Last Name *

Signature of Parent/Carer completing this form *

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Date *

Email address of Parent/Carer completing this form *

PRIVACY NOTICE

The information provided herein will be handled in accordance with the Privacy Policy of the NSW Dept of Education, available at https://education.nsw.gov.au/about-us/rights-and-accountability/privacy/privacy-information-and-forms

Forms submitted by a student and/or either a parent/carer may be visible in the School Bytes Parent Portal for either parent/carer.

YAHS Structured & Unstructured Aquatic Activities Permission - 2025

Yanco Agricultural High School