AQUALOGIC SWIM CO. CLASS RESERVATION FORM
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Last Name:      First Name:     Nickname:

Age:            Gender:               Birthday:

Home Address:  

Landline:        Fax:       Mobile:      eMail:

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PARENT'S/ GUARDIAN'S DETAILS:

Full Name:       eMail:       Contact Number:

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VENUE
      
   
Swim Program
      
   

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Schedule:          Frequency:              

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PLEASE INDICATE THE LEVEL OF YOUR SWIMMING ABILITY



Comfortable to put head under water
Comfortable in deep water




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IF YOU ARE A COMPETENT SWIMMER, PLEASE SELECT THE
SWIMMING STROKES THAT YOU ARE WELL VERSED WITH:


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A registration fee of P500 is required upon confirmation of available slot.
Please deposit to - Aqualogic Swim Co. BPI Current Account No. 8241-0041-72
and fax deposit slip to 837-1716 or email to this address to secure a slot for your desired swim class.

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I agree to the requirements stated above, and with the respective required TERMS & CONDITIONS of the swim program I am registering for