Form from: Florendine Primary School

Dear parent/carer,

Swimming goggles, if worn or used incorrectly, have been known to cause injury to the wearer and to other swimmers. 

Whilst the swimming instructor will take every possible care, no guarantee can be given that the goggles will not cause an injury to the student. 

Kind regards

School Office

Parental Consent

I understand the risks associated with my child wearing swimming goggles during school swimming lessons.

I have explained these to my son/daughter .


Pupil Name


I have read the above conditions relating to the wearing of goggles at swimming sessions.

I have made my child aware of the correct method of putting the goggles on safely.

I recognise the school’s disclaimer of responsibility with respect to any accidents caused by their use. 

Please sign below

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Parent Name

Date completed

Your name