Pre-Comp

2018 Intake Learn Competitve Swimming as a Preferred Sport REGISTRATION FORM

* please tick

Name of Swimmer : ______________________________________________________________________________________

Affix 1 Passport Photo

NRIC No. ___________________________________________________________________________ (please attach birth certificate) Gender * ( ) Male ( ) Female

Date of Birth * (dd/mm/yyyy) _____________________

Name of School : _____________________________________________________________________________________________

Membership No.

Pre-requisitive of 3 strokes * Strokes Learned ( ) Freestyle ( ) Breaststroke ( ) Backstroke ( ) Butterfly Session Preferred * ( ) PC1 - 5pm to 6:30 pm every Wed, Thurs & Fri ( ) PCN - 7:30 pm to 9 pm every Mon, Wed, Thurs & Fri ( ) Level 1 - 7-8:30 am Sat & Sun Payment * ( ) Membership fee RM110 ( ) Sibling membership RM 36 ( ) Monthly Training Fee RM160 / RM120

Total : RM ____________________________

Fees payable to KELAB RENANG IKAN BILIS (Hong Leong Bank Bhd, Ac No. 321-00000-386) ( ) Cash ( ) Interbank Transfer ( ) Cheque No. _________________ Parent's Name ____________________________________________________________ Signature : __________________________ Mobile contact No. _________________________ Email Address : ___________________________________________________________ Date : _______________________________ Office Use Only : ___________________________ ~Program includes swim training and land exercise

~Various schedules to kick-start the program

~Get involved in sports to build a healthy lifestyle ~Train to be a competitive swimmer to represent your school ~Be part of the top competitive swim club in Malaysia

Email : [email protected] www.ibswimteam.blogspot.com

What’s App : 012-2599689

PC1

RM160 pm.

PCN

RM160 pm.

Lvl 1

RM120 pm.

Kompleks Renang Kuala Lumpur Jalan Yaacob Latif, Bandar Tun Razak 56000 Kuala Lumpur