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Freestyle Swim Waiting List （游泳课等候名单）
Fill in the content in both Chinese and English （填写内容中英文都可以）
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* Indicates required question
Child name (小孩姓名)
*
Your answer
Gender （性别）
*
Male （男）
Female （女）
Child's date of birth（小孩出生日期）
*
Your answer
Your preferred class schedule (你期望的上课时间)
*
what date & what time ？ (星期几 和 什么时间？)
Your answer
Parent name （家长姓名）
*
Your answer
Relationship （关系）
*
Mother （母亲）
Father (父亲）
Phone number （电话号码）
*
Your answer
Email address （邮箱地址）
*
Your answer
Address （住址）
*
Your answer
Are there any special needs or information which would be beneficial for us to know about concerning the child's participation in water activities including prior care issues?
*
(请在下方描述有关你小朋友的特殊情况及健康信息，便于我们了解你小孩并更好地教学.)
Your answer
Has your child learned to swim before? （请问你小孩之前有学过游泳吗？)
*
Yes （是的）
No （没有）
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