Atlantic Aquatic
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New Student Registration Form
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Student Information
Full Name
Nickname
Date of Birth
Age
Gender
Select Gender
Male
Female
School Origin
Parent Information
Father's Name
Mother's Name
Father's Phone (WhatsApp)
Mother's Phone (WhatsApp)
Father's Email
Mother's Email
Training Options
Swimming Level
Select Swimming Level
Foundation
Basic 1
Basic 2
Intermediate 1
Intermediate 2
Advance
Dewasa
Branch
Select Branch
TIRTAMAS
DX WATER PARK
TROPIKANA
IMPERIAL
Pool Location
Select Branch First
Imperial Splash
Tirtamas Modern Swimming Pool
DX WATER PARK
Tropikana Waterpark Cimone
Choose Training Days
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Choose Training Session
Select Session
Sesi 1 ( 07:30 - 08:30)
Sesi 2 ( 08:30 - 09:30)
Sesi 3 ( 14:30 - 15:30)
Sesi 4 ( 15:30 - 16:30)
Sesi 5 ( 16:30 - 17:30)
Reference
Reason for Joining
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