Fishlike Sports Academy Pte. Ltd.

WORKSHOP DETAIL Workshop: * Country: * Workshop Date: *

*If you are registering for our FFWS Parts A+B Promotional Package, please enter your choice of Part B workshop date below.

FFWS Part B Workshop Date (Promotional Package Only):

STUDENT PARTICULARS Salutation: *
First Name: *
Family Name: *
Birth Date: Age: *
Occupation: *

CONTACT Address: *
Postal Code: *
Email: *
Tel (Primary): *
Tel (Secondary):
Fax:

EMERGENCY / PARENT / GUARDIAN CONTACT Name: * Tel: * Relationship: *

SWIMMING ABILITY 200m Timing: 750m Timing: 1500m Timing: 2km Timing: Others (please describe):

TERMS AGREEMENT I have read, understood and agree to all of our terms.

PAYMENT INSTRUCTIONS

Please make payment by cheque to "Fishlike Aquatic School"
Send cheque to this address:
Fishlike Aquatic School
634 Pasir Ris Drive 1 #06-606
Singapore 510634
A confirmation email will be sent to you upon receipt and clearance of your cheque.

Remember Me Next Time!