2021 Apnea Association of Singapore Membership Form
For membership term 1 January 2021 - 31 December 2021
Full Name (as in NRIC / Passport): *
Gender: *
Date of Birth: *
(dd/mm/yy)
Nationality: *
Select all that apply
Required
Residential Address: *
Are you residing mainly outside Singapore? *
Contact Number: *
Email Address: *
Freediving Certification: *
Please state highest certification level and the certifying agency
Name of Emergency Contact: *
Relationship of Emergency Contact: *
Emergency Contact Number: *
List skills/ hidden talent you have & don't mind volunteering for AAS events (for example lifesaving, photography) if we approach you for help *
Any Medical Condition or Allergies? *
Type of Membership (refer to website for definition) *
T-shirt Size *
T-Shirt Measurements
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy