Registration form for new LS123 class

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Registration form for new LS123 class

Pre-requisite: Basic Swimming skills (freestyle, breaststroke, backstroke, sidestroke)
Course fee: $90

P.S. Proficiency of strokes can be trained so no worries if you are weak in it :)

You will be informed of the first lesson when a new class is opened (min. 6 students required)

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* Indicates required question

Full Name *

As In I/C

Your answer

Gender *

Male

Female

Required

NRIC/FIN *

Your answer

Date of Birth *

DD/MM/YYYY

Your answer

Course / Year *

e.g. ACC / 1

Your answer

Residential Address *

Your answer

H/P NO. *

Your answer

Email Address *

Your answer

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