Aqua Blast Application Form

Day	Monday, Wednesday and Friday
Time &	8:00am - 9:00am (Monday) (Intermediate Level - Aqua Circuit)
Level	11:30am - 12:30pm (Monday) (Intermediate Level - Aqua Pilates)
	7:00pm - 8:00pm (Wednesday) (Intermediate to Advance Level - Aqua Cardio)
	7:30am - 8:30am (Friday) (All Levels - Aqua Toning)
Fee:	$900 per member for 4 sessions in a calendar month (1 class a week) $1,800 per member for 4 sessions in a calendar month (2 classes a week) (+10% for guests)
Venue:	Indoor Swimming Pool
Remarks:	Minimum 4 participants to run the class

Participant's Name*

First NameLast Name

Member or Guest*

MemberGuest

LRC Membership No.*

Full Membership No. (For e.g. A0123BC)

Gender*

MaleFemale

E-mail*

example@example.com

Contact Number*

Please enter a valid Hong Kong phone number.

Member Name

First NameLast Name

Member E-mail

example@example.com

Member Contact No.

Please enter a valid Hong Kong phone number.

Monday*

8am - 9am (Aqua Circuit)11:30am - 12:30pm (Aqua Pilates)None

Wednesday*

7pm - 8pm (Aqua Cardio)None

Friday*

7:30am - 8:30am (Aqua Toning)None

Remarks

Policies

Aqua Blast