Registration for Competitive Swimming Lesson

Welcome to SwimDolphia Aquatic School!
Wishing you a pleasant training journey with us.

Friendly Reminder

Complete the form and clicking on Submit button on the last page.
You would receive acknowledgement email after submitting the form successfully.

Full Name of Student: *

Date of Birth: * +

Age: * 🛈

Gender *

Male

Female

Parent's Name: *

Relationship to Student *

Contact Information *

Email : *

Able to swim all 4 competitive strokes (Freestyle, Breaststroke, Backstroke, Butterfly)? *

Yes

No

Which of the competitive strokes(s) do your child / you not able to swim yet? *

Freestyle

Breaststroke

Backstroke

Butterfly

Medical History (Please declare truthfully)

Any medical condition: *

Yes

No

Please declare your medical condition in details: *

Training Frequency Per Week: *

2 times and more

1 time per week

Lesson Commencement Date: * +