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Baby Swimming Lessons Registration Form (Group)

All the items starting with * must be completed.

Parent's Particulars

* Name:

* Contact Number:

* Address1: 

   Address2:

* Postal Code:

* Gender:

Male Female

* Email Address:


*Infant's Particulars

1. Name:

Date Of Birth:

2. Name:

Date Of Birth:

3. Name:

Date Of Birth:


Location:

Queenstown Swimming Complex

Time:

Sunday 9.00am

   
Promotion Code (if any):

   

How did you know about Happy Fish Swim School:


Others, please specify:
   

Remarks:

I have read and agree to Terms and Conditions

 


 


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