ISU Swim & Gym Program Departure Release

  • ISU Swim & Gym personnel will remain with your child at the conclusion of the program each day. Please complete the following information to ensure an approved adult is retrieving your child by 5:30pm on Tuesdays and Thursdays.

    An adult must come to the Forker Building to pick up your child. The children wait for their approved ride home in Forker 102, which is a lounge area near the exits of the pool locker rooms. Children may not leave the building without an approved adult.

  • Approved Adult for Pick-Up #1:

  • (Please provide a number that can be reached between 5:30-6:00pm)
  • Approved Adult for Pick-Up #2:

  • (Please provide a number that can be reached between 5:30-6:00pm)
  • Approved Adult for Pick-Up #3:

  • (Please provide a number that can be reached between 5:30-6:00pm)
  • Please keep the Program Director updated with any changes. It is necessary to notify the director if an adult not listed needs to retrieve your child from ISU Swim & Gym.

    Jenny Smith-Wittrock, M.S.
    ISU Swim & Gym Director
    gavsmom@iastate.edu
    515-294-1762

  • Press "Submit" to continue to the aquatic experiences form.