Program Registration

Name (as in NRIC/FIN)(required)

NRIC / FIN No. (required)

Date of Birth(required)

Gender (required)
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Contact No. (required)

Your Email (required)

Type of Program (required)

Current Swimming Abilities or Certificates Attained

Medical Conditions / Allegies / Learning Difficulties / Disabilities

Promotional Code

How Did You Hear About Us (required)
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Any Other Comments

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