Swim Lessons Registration

Contact Details
Name *
Eg. Harry Lee
Mobile Number *
Mobile Number
Email Address *
Email Address
Lesson Preference
I am registering for *

Group Class Private Lessons
Age Group *

Lady Group Adult Group Kids Group
Lady Instructor Only
Age Group *

Adult (15yrs onwards) Kids (6yrs onwards)
Lady Instructor Only
Student Details
Class Option *

1 Student Male Coach 2 Students Male Coach 3 Students Male Coach
Class Option *

1 Student Female Coach 2 Students Female Coach 3 Students Female Coach
Venue & Schedule
Venue *

Public Pool Condominium
Public Venues *
Condo Name *
Preferred Day & Time *
Date *

Day Month Year
Additional Information
DNC *

I agree to be contacted by Swimming Lesson SG even if I am registered in the Do Not Call(DNC) Registry.
Should be Empty:

Now create your own Jotform - It's free! Create your own Jotform