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Class Registration
Please fill the form as much as you can, the information you provide will be kept confidential and it's only be used to help us to better serve you. Follow the instruction after you submit the form.
You must agree the Flying Fish Swimming School MEMBERSHIP AGREEMENT (at the bottom of form) to complete the registration.
Fields marked with an asterisk (*) are required.
 
Student Name: *   
Date of Birth: *   
Parent Name: *   
E-mail: *
Address:*   
City:*   
Zip Code: *   
Home Phone: *   
Mobile Phone: *   
Class Location: *   
Start Date: (MM/DD/YYYY) *   
Class Day *   
Class Time: *   *
Class Level: *   
 
If you have more than one student to register, please fill in following fields.
  
Student Name (2):   
Date of Birth:   
Class Level:   
Student Name (3):   
Date of Birth:   
Class Level:   

I have read and agree the membership agreement.