Age Group: Under 13 Assessment ID: Pool Swim Run-Swim-Run Location: Location: First Name Surname Swim Float Time Competent 150m (freestyle) 3 minute 100m-100m-100m (/×) (/×) (/×) 1 2 3 4 5 6 7 8 9 10 Qualified Assessor (Pool): Bronze Accredited Swim Coach, Level 1 Assessor Name: Assessor Name: Surf Coach, AUSTSWIM Instructor, Junior Activities Accreditation Assessor Signature: Assessor Signature: Officer (JAAO) or Bronze Assessor Date Witnessed: Qualified Assessor (Beach): JAAO or Bronze Assessor Date Witnessed:
Age Group: Under 13 Assessment ID: Pool Swim Location: Run-Swim-Run Location: First Name Surname Float 3 minute (/×) Swim 150m (freestyle) (/×) Time 100m-100m-100m Competent (/×) 1 2 3 4 5 6 7 8 9 10 Qualified Assessor (Pool): Bronze Accredited Swim Coach, Level 1 Surf Coach, AUSTSWIM Instructor, Junior Activities Accreditation Officer (JAAO) or Bronze Assessor Qualified Assessor (Beach): JAAO or Bronze Assessor Assessor Name: Assessor Name: Assessor Signature: Assessor Signature: Date Witnessed: Date Witnessed: