Replacement Lesson Application | D Swim Academy (DSA) Malaysia

At D Swim Academy (DSA), we are always committed to improving our quality in all areas. This page is to help you submit necessary documents like medical certificate, school program note etc. in order to request for a replacement class. Please note replacement classes cannot be requested over our phone lines.

Replacement classes are only allowed for the following reasons:

Monthly menstrual cycles
(allowed for female students, once a month only – no supporting documents required)
Medical reasons (supporting documents like medical certificate/note required)
School event (supporting documents like program note, school letter etc. required)

Please fill in your details in the form below and upload your documents as required to request for replacement class.

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Student Full Name (required)

Student ID(required)

Parent Full Name

Contact Phone (required)

Contact Email (required)

Student Course

Student Class Level

Location

Missed class Date

Reason for missed class

Please upload supporting documents as required:

Note: Maximum file size for upload is 5 MB. Accepted file formats are .jpg, .gif, .png, .pdf only. Please ensure file names do not contain any special characters (" ' @ # $ etc).

REPLACEMENT CLASS PREFERRED DATES:
(Note: Replacement class dates are allowed only for a period of 1 month from the date of missed class)

OPTION NO. 1
Date	Time
OPTION NO. 2
Date	Time

Any other information: