REGISTER : KIDS FORM

Full Name:
Age :
Gender :	Boy Girl
Phone Number :
Emergency Phone Number :
Address :
Email Address :
Pool (Nearby home) :
Class Schedule (Max=2):	Wednesday (8pm-9pm),MGCC Thursday (8pm-9pm),MGCC Saturday (9am-10am),PADE Saturday (10am-11am),PADE Saturday (12pm-1pm),3K Saturday (1pm-2pm),3K Saturday (3pm-4pm),PADE Sunday (9am-10am),PADE Sunday (10am-11am),PADE Sunday (12pm-1pm),3K Sunday (1pm-2pm),3K Sunday (3pm-4pm),PADE
Any attention require from us?

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Water Sapien Swim Academy