Private Swimming 2026

Private Swimming 2026

Please complete this form at least 7 days before the lesson starts. Application is subject to confirmation via return whatsapp or email. One form per person*
Student Name

First NameLast Name
Gender
Date of birth

DayMonthYear
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Age
The class is unavailable for those below 3 years old.
Phone Number

Area CodePhone Number
E-mail
example@example.com
Member/ Guest
Membership Number
Resident
Swimming Ability
Eg. Beginner/ 2-3 years
Duration
Preferred Day/ Time
Eg. Monday 9-11am/ Friday 3-5pm
Click for Instructor Profile
Venue:

Roman Bath
Remark
Preferred Payment Type
Signature
Should be Empty: