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BAC Swimming Summer camp Registration form
BAC has 34 years’ experience in teaching swimming 1,50,000 children have successfully completed
summer camps .
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* Indicates required question
Name of the child
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Father/Mother's Name
*
Your answer
Phone number
*
Your answer
Phone number belongs to
*
Choose
Self
Father
Mother
Address
*
Your answer
Email Id
*
Your answer
Please select your preferred options, We will get in touch with you
*
Choose
1st Batch - 01-04-24 to 29-04-24
2nd Batch - 20-04-24 to 19-05-24
3rd Batch - 2-05-24 to 28-05-24
Please select your timings
Please select your preferred options, We will get in touch with you
Children Learning to swim
9 Am – 10 Am - 4-5 Years exclusive Batch
10 AM – 11 PM 5-15 years
12 PM- 1 PM – 5-15 years
03:30 PM – 4:30 PM – Below 10 years
04:30 PM – 05:30 PM 5- 15 years
Clear selection
Ladies only batches
03:30 PM – 04:30 PM -15 years and above
09:00 – 10:00 PM – 15 years and above
Clear selection
Adult Gents Batches
05:00 - 6 AM - 15 years and above
09:00 - 10:00 PM – 15 years and above
Clear selection
Medical information
Are you suffering from any of the following?
Epilepsy
*
Yes
No
Skin diseases
*
Yes
No
Any contagious diseases
*
Yes
No
Any other physical handicap? Please specify.
Your answer
Emergency Contact Details
Please enter contact details of the people we need to contact in case of emergencies
Name
*
Your answer
Relationship
*
Your answer
Address
*
Your answer
Phone number
*
Your answer
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