AeroSplash Stroke Clinic 2026 — Registration
Register now for the 2026 clinic from June 1-5 at Wisma Kah Motor, KL. Make payment before May 23 for early bird rates.
Swimmer Details
Full Name
*
Date of Birth
*
-
Month
-
Day
Year
Date
Age
*
Gender
*
Male
Female
Swimming Level
*
Please Select
Beginner - can swim 25m but needs technique help
Intermediate - comfortable in all 4 strokes
Competitive - training or competing at club level
Advanced - state or national level athlete
Current Swim Club or School
Parent Guardian Details
Parent Guardian Name
*
First Name
Last Name
Relationship to Swimmer
*
Please Select
Father
Mother
Guardian
Self adult swimmer
WhatsApp Number
*
-
Area Code
Phone Number
Email Address
*
example@example.com
Registration Package
Package Selection
*
RM1300 - All 5 days Clinic only for existing AeroSplash Swimmer
RM1650 - All 5 days Clinic plus Video Recording for existing AeroSplash Swimmer
RM1400 - All 5 days Clinic for Early Bird
RM1750 - All 5 days Clinic plus Video Recording all 5 days Early Bird
Individual days only please select below
Individual Days Clinic Only
Day 1 Freestyle Mon 1 June 2026
Day 2 Backstroke Tue 2 June 2026
Day 3 Breaststroke Wed 3 June 2026
Day 4 Butterfly Thu 4 June 2026
Day 5 Turns Dives and Race Prep Fri 5 June 2026
Add Video Package for Individual Days ( RM100 per day)
Day 1 Freestyle Video
Day 2 Backstroke Video
Day 3 Breaststroke Video
Day 4 Butterfly Video
Day 5 Turns Dives Video
Other
How did you hear about us?
*
Please Select
Instagram aerosplash.swim
WhatsApp or friend referral
Existing AeroSplash student
School or swim club
Banner
Google search
Other
Medical Conditions or Allergies (if any)
Consent
*
I consent to AeroSplash collecting this information for clinic registration
Register
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