Freediving Course Registration Form

Freediving Course Registration Form

Please fill in the form below.
Pool Course in Jan

16-17 Jan23-24 Jan30-31 JanPrivate Session, Please suggest dateOther
*Pool Course Fee is RM750.

*For date 16-17 and 30-31 additional fee RM50 will apply for extra pool fee price at Bukit Kiara Equestrian Club
Full Name*

PrefixFirst NameLast Name
Address*

Street Address

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Phone Number*

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E-mail*
Do you have SSI ID? if yes please enter your number
Date of Birth*

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Gender

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Shoe Size ( for your Fins) in Eu
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