STUDENT NAME

DSA STUDENT ID.

CONTACT NO.

EMAIL ADDRESS

DSA PROGRAM

Select ProgramDSA Adult SwimmersDSA Young SwimmersDSA Mini SquadDSA Junior Swimmers (Y2, B1, B2)

SELECT PREFERRED LOCATION

Select LocationBukit JalilKg. PandanShah AlamSetia AlamBandar UtamaBandar Dato Onn (Johor)

PREFERRED LESSON DAY

Please SelectMondayTuesdayWednesdayThursdayFridaySaturdaySunday

PREFERRED LESSON TIME

9:00am9:30am10:00am10:30am11:00am11:30am12:00pm12:30pm1:00pm1:30pm2:00pm2:30pm3:00pm3:30pm4:00pm4:30pm5:00pm5:30pm6:00pm