Swim Test Certificate Template - Free Download
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Swim Test Certificate Template
Swim Test Certificate Template
BSA Swim Test Certification
A BSA Lifeguard or Red Cross Lifeguard MUST administer this test. A copy of their certification card MUST
accompany this form. Incomplete forms, or absence of proof of certification, will void the Swim Test.
Note to Lifeguard:
It is very important that you administer this test exactly as stated. Do not make exceptions for any
reason. There are three classification levels in the BSA Swim Test. The first is SWIMMER, which will allow
the scout to swim in all areas, boat in open areas of a lake, and participate in waterskiing and open sea activities.
The second is BEGINNER, which will permit limited boating and swimming. The third is LEARNER, which
will permit wading and boating only with qualified accompaniment in safe watercraft.
SWIMMERS must demonstrate the following:
Jump feet first into water over the head in depth, level off, and begin swimming. Swim 75 yards in a strong
manner using one or more of the following strokes: sidestroke, breaststroke, trudgen, or crawl (no dog-paddle);
then swim 25 yards using an easy, resting backstroke. The 100 yards must be completed in one swim without
stops and include at least one sharp turn. After completing the swim, rest by floating for one minute.
BEGINNERS must demonstrate the following:
Jump feet first into water over the head in depth, level off, swim 25 feet on the surface, stop, turn sharply,
resume swimming as before, and return to the starting place.
LEARNERS are those who cannot pass the test required of SWIMMERS or BEGINNERS.
I attest to the validity of the Swim Test administered by me on ______________________, 20____. A copy of
my certification is attached. I understand that classifying an unqualified scout as a Swimmer or Beginner could
endanger the health and safety of the individual and others.
Scout Name ________________________________________ Unit Number ___________
Pool Name and Location ________________________________________________________
Demonstrated Classification (circle one) SWIMMER BEGINNER LEARNER
Name of Lifeguard (print) _________________________________________
Certification Expiration ______________________, 20____
Signature ______________________________________________________
Form invalid
attached COPY
of Certification
Swim Test Certificate Template Previous Page
source: bsaswampbase.org
Swim Test Certificate Template