Private Coaching Lessons by Sports Schooling

I'm enquiring about Private Lessons for

My childMyself
Are you or your child a current swimmer with X Lab, X Lab (Masters) and/or Swim Lab

YesNo

For current students of X Lab and Swim Lab
If yes, please indicate the programme you are currently attending (please note that withdrawal from current swim programme at Swim Lab and X Lab is not allowed):

X Lab: Junior Development Squad@Hwa Chong PoolX Lab: Junior Squad@XCLX Lab: Bronze Squad@XCLX Lab: Silver Squad@XCLX Lab: Gold Squad@XCLSwim Lab: Learn to Swim (Toddler, Beginner and Intermediate)Masters

For swimmers new to Sports Schooling's Swim Lab and X Lab
Any prior swim lessons?

YesNo
If yes, please share the number of years/months of swim experience.
Able to perform the following without assistance? (Check all that apply)

Submerge head underwaterFloat on back/frontKick with a boardSwim 10m unassistedSwim 25m continuouslyPerform freestyle strokePerform backstrokePerform breaststrokePerform butterfly
Ever participated in any swim assessments, school swim programs, or competitive squads?

YesNo
If yes, please elaborate
Are there any fears or concerns we should be aware of? (e.g. fear of water, previous bad experiences)

Please insert swim timings (for swimmers with experience)

	Timing (mm:ss). Please insert NA if you are not aware of your swim timings.
50m Freestyle
100m Freestyle
50m Breastroke
100m Breastroke
50m Backstroke
50m Butterfly
100m Individual Medley

Parent's Particulars (if registering for your child)
Parent's Name *

First NameLast Name
Parent's mobile number*
Please enter a valid phone number.
Parent's email address *
Important updates will be sent to the email address you provide.

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