Swim Lesson Change Form

This form must be completed by the swim instructor for any student moved from the level they originally registered for into a different swim level.

Form to be completed same day as move made.

 
1.

Date of Change (date student moved into new course):

 
 
2.

Name of Student (First Name, Last Name):

 
 
3.

Old Course ID/Level (course student registered for):

 
 
4.

New Course ID/Level (course student moved to):

 
 
5.

Instructor's Name (who is completing this form):

 
 
 

Thank you for providing us this information.  The Community Education office will remove the student's name from the original class roster and Course Record Addendum and will put the student into the correct Course Record Addendum.