Swimming Classes | Singapore Swim Instructor | Swimming Lessons
Swimming Classes | Singapore Swim Instructor | Swimming Lessons
Registration
Student Particulars
Name 1:
Age:
DOB (dd/mm/yy):
Gender:
Male
Female
Name 2:
Age:
DOB (dd/mm/yy):
Gender:
Male
Female
Name 3:
Age:
DOB (dd/mm/yy):
Gender:
Male
Female
Name 4:
Age:
DOB (dd/mm/yy):
Gender:
Male
Female
Contact Person
Name:
Email Address:
Residential Address:
Contact No:
(H)
(HP)
(O)
Class Type:
Private
Semi-Private
Small Group
Big Group
Adult Group
Type of Program:
Beginner / Bronze Award
Intermediate / Silver Award
Advance / Gold Award / Gold Star Award
Competitive
Instructor Preference:
No Preference
Male Instructor
Female Instructor
Frequency of Lesson:
Once a week
Twice a week
Thrice a week
Preferred Session:
Anytime Between 8-12pm
Anytime Between 12-4pm
Anytime Between 4-8pm
Preferred Day:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Commencement
Commencement Date (dd/mm/yy):
Venue of Lesson:
Remarks:
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