Instructions
Program attendees will receive a password to open and complete each form.
When the form is completed attendees should send it via email by pressing the "Send" or "Submit" buttons. When clicked, a window will pop up asking if it needs to be sent using a desktop email software or an Internet email provider. Please choose one.
The form can also be printed and faxed directly to 561-616-7084 or mailed to:
Anna Stewart, Manager
Drowning Prevention Coalition of Palm Beach County
405 Pike Road
West Palm Beach, FL 33411
Free water safety swim lesson program:
The Drowning Prevention Coalition of Palm Beach County (DPC) is committed to preventing water related incidents in Palm Beach County. Please take time to rate your satisfaction level with the free water safety swim lesson program your child(ren) received. By taking the time to complete this survey, we hope to enhance the quality of our services.
Land based water safety program:
The Drowning Prevention Coalition of Palm Beach County (DPC) is committed to preventing water related incidents in Palm Beach County. Please take the time to rate your satisfaction level with the Land Based Water Safety Program provided to your group.
