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Child(ren) Registration Form |
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Personal Info | CHILD |
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Family Name | * |
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First Name | * |
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Date of Birth | * |
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Gender | Male Female * |
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Nationality | * |
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Picture Upload | |
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Medical Info | Please indicate if any health problems, physical disability or other concerns : |
| Asthma | ||
| Epilepsy | ||
| Muscular Problems | ||
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If any other, please mention here | |
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Contact Info | |
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Address | * |
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P.O Box | * |
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City | * |
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Home Telephone Number | * |
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Parents Info | For contact purposes and in case of emergency only. |
| FATHER | ||
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Family Name | * |
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First Name | * |
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Nationality | * |
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Mobile Number | * |
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Office Number | |
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Office E-mail | |
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Personal E-mail | * |
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Personal E-mail (2) | |
| MOTHER | ||
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Family Name | * |
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First Name | * |
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Nationality | * |
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Mobile Number | * |
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Office Number | |
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Office E-mail | |
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Personal E-mail | * |
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Personal E-mail (2) | |
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Swim Level | |
| Please indicate the level that fits best to your child : * | ||
| Absolute Beginner | ||
| Can swim few meters | ||
| Can swim 25 meters non-stop in one stroke | ||
| Can swim 25 meters non-stop in two or more strokes | ||
| Can swim 50 meters non-stop in two or more strokes | ||
| Can swim 100 meters non-stop in two or more strokes | ||
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Source | It would be great if you tell us of how you knew about us |
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Choose one | * |
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If others, please mention here | |
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By clicking on Finish you Agree to our code of conduct policy |
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Personal Info | CHILD 2 |
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Family Name | * |
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First Name | * |
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Date of Birth | * |
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Gender | Male Female * |
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Nationality | * |
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Picture Upload | |
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Medical Info | |
| Asthma | ||
| Epilepsy | ||
| Muscular Problems | ||
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|
If any other, please mention here | |
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Swim Level | |
| Please indicate the level that fits best to your child : * | ||
| Absolute Beginner | ||
| Can swim few meters | ||
| Can swim 25 meters non-stop in one stroke | ||
| Can swim 25 meters non-stop in two or more strokes | ||
| Can swim 50 meters non-stop in two or more strokes | ||
| Can swim 100 meters non-stop in two or more strokes | ||
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By clicking on Finish you Agree to our code of conduct policy |
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Personal Info | CHILD 3 |
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Family Name | * |
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First Name | * |
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Date of Birth | * |
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Gender | Male Female * |
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Nationality | * |
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Picture Upload | |
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Medical Info | |
| Asthma | ||
| Epilepsy | ||
| Muscular Problems | ||
|
|
If any other, please mention here | |
|
|
Swim Level | |
| Please indicate the level that fits best to your child : * | ||
| Absolute Beginner | ||
| Can swim few meters | ||
| Can swim 25 meters non-stop in one stroke | ||
| Can swim 25 meters non-stop in two or more strokes | ||
| Can swim 50 meters non-stop in two or more strokes | ||
| Can swim 100 meters non-stop in two or more strokes | ||
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By clicking on Finish you Agree to our code of conduct policy |
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Personal Info | CHILD 4 |
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Family Name | * |
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First Name | * |
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Date of Birth | * |
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Gender | Male Female * |
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Nationality | * |
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Picture Upload | |
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Medical Info | |
| Asthma | ||
| Epilepsy | ||
| Muscular Problems | ||
|
|
If any other, please mention here | |
|
|
Swim Level | |
| Please indicate the level that fits best to your child : * | ||
| Absolute Beginner | ||
| Can swim few meters | ||
| Can swim 25 meters non-stop in one stroke | ||
| Can swim 25 meters non-stop in two or more strokes | ||
| Can swim 50 meters non-stop in two or more strokes | ||
| Can swim 100 meters non-stop in two or more strokes | ||
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By clicking on Finish you Agree to our code of conduct policy |
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Personal Info | CHILD 5 |
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Family Name | * |
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First Name | * |
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Date of Birth | * |
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Gender | Male Female * |
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Nationality | * |
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Picture Upload | |
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Medical Info | |
| Asthma | ||
| Epilepsy | ||
| Muscular Problems | ||
|
|
If any other, please mention here | |
|
|
Swim Level | |
| Please indicate the level that fits best to your child : * | ||
| Absolute Beginner | ||
| Can swim few meters | ||
| Can swim 25 meters non-stop in one stroke | ||
| Can swim 25 meters non-stop in two or more strokes | ||
| Can swim 50 meters non-stop in two or more strokes | ||
| Can swim 100 meters non-stop in two or more strokes | ||
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By clicking on Finish you Agree to our code of conduct policy |