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
*
Ang Mo Kio SC
Bishan SC
Bukit Batok SC
Choa Chu Kang SC
Clementi SC
Delta SC
Geylang East SC
Heartbeat@ Bedok ActiveSG SC
Hougang SC
Jalan Besar SC
Jurong East SC
Jurong West SC
Kallang Basin SC
Katong SC
MOE(Evans) SC
Pasir Ris SC
Queenstown SC
Sengkang SC
Senja-Cashew SC
Serangoon SC
Tampiness SC
Toa Payoh SC
Woodlands SC
Yio Chu Kang SC
Yishun SC
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.
Submit Registration
Should be Empty:
Now create your own JotForm - It's free!
Create your own JotForm