Oma's Dolphin Swim Pre-Registration

Preferred Swim Date 1

Preferred Swim Date 2

Preferred Swim Date 3

Particpants Date of Birth

Can the individual communicate verbally
Will being in a non-sterile ocean water environment present any potential health issues for the participant?
(due to open wounds, ports, and/or a compromised immune system)
Is the individual afraid of large animals or deep water where they cannot see the bottom?
Is the individual able to swim/float without assistance?
Is the participant able to walk without assistance?
Is the individual able to hold their legs stiff?
Does the individual have full use of their arms and hands?
Does the individual experience seizure activity?
Is the individual able to climb up a pool ladder without assistance?
Is the individual self-sufficient?