Swim Lessons Registration

Global Swim Mobile - Swimming Lessons
Parent(s) Name(s) *
Email Address *
Contact Number *
If more than one swimmer - Please fill names for each.
Swimmer's Name *
Swimmer's Gender *

Male Female
Swimmer’s Birthday *

Month Day Year
Date Date Picker Icon
Swimmer's Name
Swimmer's Gender

Male Female
Swimmer’s Birthday

Month Day Year
Date Date Picker Icon
Swimmer's Name
Swimmer's Gender

Male Female
Swimmer’s Birthday

Month Day Year
Date Date Picker Icon
Swimmer's Name
Swimmer's Gender

Male Female
Swimmer’s Birthday

Month Day Year
Date Date Picker Icon
Please Select your Preferred Days

Monday / Tuesday Thursday / Friday Saturday / Sunday
Select options *
There is a $35 registration fee & $50 refundable deposit, per swimmer, due on first day of lessons.

This can be paid only via bank transfer. Payable to RJ Global Swim Mobile.

(CIMB - 8010135620 | Swift code - CIBBMYKL)

Session Fee is also due on the first day of lessons.
We occasionally take pictures & videos of the kids in action swimming

or doing other activities for our Facebook Page, Instagram Profile, Website & YouTube Channel.

We hope to use these to keep parents and the community

up to date on the happenings at the RJ Global Swim Mobile.

Social Media Release form is avaiable for your consent.
Please click yes if you WILL give permission to have photographs of you / your child taken *

Yes No Request of SMRF (Social Media Release Form)
How did you find us? *

Google/Other search engine Facebook Friend Others
If you were referred by a friend please let us know who, so we can thank them! *
Thank You!
Should be Empty:

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

Global Swim Mobile - Swimming Lessons

If more than one swimmer - Please fill names for each.

Thank You!