Adakah anda bersetuju dengan terma dan syarat jomrenang? Sila baca sebelum mendaftar. Terima kasih. / Read TnC before Sign-Up. Rujukan/Ref. http://jomrenang.com/terms/ *
Pflichtfrage
Pilihan Pakej Personal / Personal Package Options *
Cadangan Tarikh/Hari/Masa untuk mulakan kelas renang./ Suggested Date / Day / Time to start swimming class.
Exp: 1st Jan 2023 / Sunday / 10am
*
Meine Antwort
Nama Pelajar / Student's Name
*
Meine Antwort
(For more than 1 student, Please write all students name, gender & age)
exp1: Anis/Female/27yo
exp2: Anas/Boy/4yo
Meine Antwort
No. Telefon / HP Number (Students / Parent) *
Meine Antwort
Umur pelajar/Student's Age *
Meine Antwort
Jantina/Gender *
Please inform if participants have health problems such as diabetes, high blood pressure, cancer, health rehabilitation, pregnancy, autism, skin diseases, allergies, asthma etc. Type "none" if no related. *
Meine Antwort
Penilaian Tahap Kesihatan / Health Scales *
Tidak Sihat/ Not Fit
Cukup Sihat/Fit Enough
Maklumat Ibu/Bapa Penjaga (Parents/Guardian Information)
For students under 18 years old or under guardian
Nama Ibu/Bapa/Penjaga /Parents/Guardian Name's
Meine Antwort
No telephone / HP
Meine Antwort
PERAKUAN / DECLARATION *
Pflichtfrage
Form submission date *
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