Kuwait Triathlon Club - PRE LAUNCH

JUNIORS & KIDS SWIM PROGRAM

registration form
• Learn to swim program

• Swim stroke development

Ages (6-12) years old
DAYS:

Monday 8 Wednesday

TIMES:

5:00 - 6:00 pm (level 1)

6:00 - 7:00 pm (level 2)

LOCATION: sahara (hunting & Equestrian Club)

Sept 5th to End of Nov
Name of Child*

First NameLast Name
E-mail*
Am interested in
Phone Number*

Area CodePhone Number
Gender*

MALEFEMALE
Date of Birth*

YearMonthDay
Date
Age*
Civil ID number of the child*
Name of Parent

First NameLast Name
Health Condition
Do you suffer from any of the following

High/low Blood pressure?DiabetesAsthma
Do you suffer from any injuries?
please specify
If you have any other health condition, please specify..
Signature*

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