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Formulir Pendaftaran KIMJO SWIMMING CLASS
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Email
*
Your email
Nama Lengkap
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Your answer
Nomer Telephone/Whatsapp
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Your answer
Email Pribadi
*
Your answer
Domisili Kabupaten/Kota
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Your answer
Program Pilihan
*
Kelas Reguler Dewasa Lanjutan
Kelas Reguler Anak Pemula
Kelas Reguler Baby
Kelas Private Dewasa Lanjutan
Kelas Private Anak Pemula
Paket Keluarga/Family
Nama Organisasi/Perusahaan/Sekolah
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Your answer
Jumlah Peserta
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Choose
1
2
3
4
5
6
7
8
9
10
Lokasi Latihan
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Sport Club Permata Cimanggis
Sport Club Arcadia
Saung Engkong Ano
Catatan
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Your answer
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