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
Date
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*
YesNo
Swimming Ability*
Eg. Beginner/ 2-3 years
30 mins45 mins60 mins
Preferred Day/ Time*
Eg. Monday 9-11am/ Friday 3-5pm
Click for Instructor Profile
Venue:

Roman Bath
Remark
Cheque “HK Parkview Management Services Ltd”Online Payment LinkPrepaid CreditCharge Room
Signature*
Should be Empty: