"Home-Service Swimming Enrollment Form"

"Home-Service Swimming Enrollment Form"

Fill out the form carefully for registration.
Student Name:*

First NameMiddle NameLast Name
Age:*
Birth Date:*

MonthDayYear
Gender:*
E-mail Student/Guardian:*
example@example.com
Address:*
Guardian's Name:*

First NameLast Name
Relationship:*
Mobile Number:*
Swimming Lessons*

Starter: Basic SwimmingBeginner: Water Treading and Proper StrokingIntermediate: Survival Training and Different Types of Swimming PositionsAdvance: Competition & Advance-Level Swimming Training
Preferred Day Schedule (List All Availability)*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Preferred Time Schedule (All Availability)*

8:00-9:00am9:00-10:00am10:00-11:00am11:00-12:00pm1:00-2:00pm2:00-3:00pm3:00-4:00pm4:00-5:00pm5:00-6:00pm6:00-7:00pm7:00-8:00pm
Regular Packages:*

6 sessions (1.5 hour/session) ₱11,000.0012 sessions (1.5 hour/session) ₱19,000.0024 sessions (1.5 hour/session) ₱32,000.00
Payment Method:*

BPI: 3649 2194 13 Mary Joy SevillaMetrobank: 282328 2964610 Mary Joy SevillaUnionbank: 1094 2638 3672 Pontem PHGCash 09109639182 Ma. Teresa SevillaGCash: 0917 3090 155 Mary Joy SevillaCash / Credit Card: Pay at the Office: Mezzanine Unit M03, Lanzilia Bldg. #4-A J. P. Rizal Extension, National Rd., Brgy. West Rembo, Taguig City
Image Upload: Receipt of Enrollment Fee *

Cancelof
TERMS & CONDITIONS:

1. Client agrees that cancelled classes must have a make-up which may be scheduled on a different day and time from the regular schedule.

2. Preferred schedule is subject for confirmation with the Coach. We don't guarantee your preferred schedule is open. First come, first serve policy.

3. Non-appearance in class without notice atleast a day before the schedule will be forfeited.

MONEY BACK GUARANTEE:

1. The student attended with no missed classes his/her regular schedule of once, twice or thrice a week for the lessons.

2. The student finished the 12 sessions enrolled.

3. If the student cannot swim after 12 sessions enrolled. Please note that 6 sessions enrollment for swimming does not apply to money back guarantee.

Please note: Your own pool is needed for home-service swimming lessons.
Signature*

Clear
Should be Empty: