Register School Holiday Swimming Class

Parent's Name: 
Contact Number:
Email:
Address:
Postal Code:
   
Preferred Location:
Timing: Every Monday, Wednesday & Friday 9am
23 November 2009 - 31 December 2009
Fee: S$300 for 18 lessons
Remarks:  - Hari Raya Haji (27/11/2009) replace on 26/11/2009
 - Christmas Day (25/12/2009) replace on 24/12/2009
 - New Year (1/1/2010) replace on 31/12/2009
   
Children's  Particulars: 1. Name: Date of Birth:
2. Name: Date of Birth:
3. Name: Date of Birth:
4. Name: Date of Birth:
5. Name: Date of Birth:
6. Name: Date of Birth:
Promotion Code:
(If Any)
Where did you hear us from? Others, please specify:
Remarks:
I've read and agreed to the terms and conditions