Program Registration

Name of Student (as in NRIC/FIN)(required)

NRIC / FIN No. (required)

Date of Birth(required)

Gender (required)

Contact No. (required)
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Your Email (required)

Type of Program (required)

Current Swimming Abilities or Certificates Attained

Medical Conditions / Allegies / Learning Difficulties / Disabilities

Promotional Code

Name of Parent/Guardian (if student is under 21)

Parent/Guardian's Contact No.

How Did You Hear About Us (required)
Search Engine (e.g. Google, Yahoo!, Bing)FacebookEcommerce Marketplace (e.g. Groupon, Ensogo, Streetdeal)RoadshowsWord of mouthSMS TextPrinted Media (e.g. Newspaper, Magazine, Pamphlet)Others

Any Other Comments

I have read and agreed to the Terms and Conditions.