BAC Swimming Summer camp Registration form
BAC has 34 years’ experience in teaching swimming 1,50,000 children have successfully completed
summer camps .
Name of the child *
Date of Birth *
MM
/
DD
/
YYYY
Father/Mother's Name *
Phone number *
Phone number belongs to *
Address *
Email Id *
Please select your preferred options, We will get in touch with you *
Please select your timings
Please select your preferred options, We will get in touch with you
Children Learning to swim
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Ladies only batches
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Adult Gents Batches
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Medical information
Are you suffering from any of the following?
Epilepsy *
Skin diseases *
Any contagious diseases *
Any other physical handicap? Please specify.
Emergency Contact Details
Please enter contact details of the people we need to contact in case of emergencies
Name *
Relationship *
Address *
Phone number *
Submit
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This form was created inside of LWYD Interactive LLP.