6 DAY HOLIDAY SWIMSAFER LESSONS Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Swimsafer Holiday Sign Up 🌟 AQZOG HOLIDAY SWIMSAFER PROGRAM 🌟 🌊 Learn, Swim & Stay Safe! Fee Inclusive of Swimsafer Test. 📅 NOV 24, 25, 28, DEC 1,2 5 (GROUP 1) -FULL (CLOSED REGISTRATION) 📍 DELTA Swimming Complex. Postal Code 158790 STAGE 1,2,3 ⏰ 8:30 AM – 9:45 AM STAGE 4, 5, 6 ⏰ 9:45 AM – 11:00 AM 📅 DEC 16, 17, 19, 23, 24, 26 (GROUP 2) 📍 Clementi Swimming Complex. Postal Code 129908 STAGE 1,2,3 ⏰ 3:30 PM – 4:45 PM STAGE 4, 5, 6 ⏰ 4:45 PM – 6:00 PM Why Join Us? ✅ Certified and experienced MOE Certified SwimSafer instructors ✅ Ideal Similar Learning Group for easier Learning standardisation. ✅ Safe and structured learning environment ✅ FREE CAP, GOODIES BAG, PROGRESS CHECKLIST, SWIMSAFER THEORY HANDOUT. ✅ Progressive learning approach tailored for each stage ✅ Participation Certification upon completion. ✅ Fee Inclusive of SwimSafer Test Slots are limited! Register now and let your child build water confidence while having fun Choose your Preferred Schedule & LocationClementi (Dec Group)CLEMENTI on DEC 16, 17, 19, 23, 24, 26 (GROUP 2) (Tue, Wed Fri)STAGE 1, 2, 3 TIME: 3:30 PM – 4:45 PMSTAGE 4, 5, 6 TIME: 4:45 PM – 6:00 PMParent's Name *Email *How many Pax Joining?1 pax2 pax3 pax4 pax5 paxDate of Birth #1 *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender #1 *BoyGirlAttained any swimsafer Certificate? #1 *YesNoWhich Swimsafer Stage is he currently having? #1 *Stage 2STAGE 3STAGE 4STAGE 5STAGE 6He/She #1 *Cannot Swim at all- Join STAGE 1Can Swim 1 stroke only. Join STAGE 1Can Swim 2 strokes. Join STAGE 2Can Swim 3 strokes Join STAGE 3Can Swim 4 strokes. Join STAGE 4Can swim 5 striokes. Join STAGE 5 onwardDate of Birth #2 *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender #2 *BoyGirlAttained any swimsafer Certificate? #2 *YesNoWhich Swimsafer Stage is he currently having? #2 *Stage 2STAGE 3STAGE 4STAGE 5STAGE 6He/She #2 *Cannot Swim at all- Join STAGE 1Can Swim 1 stroke only. Join STAGE 1Can Swim 2 strokes. Join STAGE 2Can Swim 3 strokes Join STAGE 3Can Swim 4 strokes. Join STAGE 4Can swim 5 striokes. Join STAGE 5 onwardDate of Birth #3 *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender #3 *BoyGirlAttained any swimsafer Certificate? #3 *YesNoWhich Swimsafer Stage is he currently having? #3 *STAGE 2STAGE 3STAGE 4STAGE 5STAGE 6He/She #3 *Cannot Swim at all- Join STAGE 1Can Swim 1 stroke only. Join STAGE 1Can Swim 2 strokes. Join STAGE 2Can Swim 3 strokes Join STAGE 3Can Swim 4 strokes. Join STAGE 4Can swim 5 striokes. Join STAGE 5 onwardDate of Birth #4 *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender #4 *BoyGirlAttained any swimsafer Certificate? #4 *YesNoWhich Swimsafer Stage is he currently having? #4 *STAGE 2STAGE 3STAGE 4STAGE 5STAGE 6He/She #4 *Cannot Swim at all- Join STAGE 1Can Swim 1 stroke only. Join STAGE 1Can Swim 2 strokes. Join STAGE 2Can Swim 3 strokes Join STAGE 3Can Swim 4 strokes. Join STAGE 4Can swim 5 striokes. Join STAGE 5 onwardDate of Birth #5 *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender #5 *BoyGirlAttained any swimsafer Certificate? #5 *YesNoWhich Swimsafer Stage is he currently having? #5 *STAGE 2STAGE 3STAGE 4STAGE 5STAGE 6He/She #5 *Cannot Swim at all- Join STAGE 1Can Swim 1 stroke only. Join STAGE 1Can Swim 2 strokes. Join STAGE 2Can Swim 3 strokes Join STAGE 3Can Swim 4 strokes. Join STAGE 4Can swim 5 striokes. Join STAGE 5 onwardChoice of PaymentCredit Card PaymentPaynow OnlyPaynow to AQZOG at 91375141 Notify AQZOG via whatsapp 91375141 when done. Total$0.00Please proceed to make payment (Paynow) ID #61 to AQZOG Swim School at 91375141 & notify when done. Grand Total$0.00Math Captcha- Ensure you are Human. *What is 7+4? Submit