STUDENT NAME

DSA STUDENT ID.

CONTACT NO.

EMAIL ADDRESS

DSA PROGRAM

Select ProgramDSA Junior Swimmers (R1, R2, Y1)DSA Kiddie SwimmersDSA Baby & MeDSA Water Polo ProgramDSA Artistic Swimming Program

SELECT PREFERRED LOCATION

Select LocationBukit JalilKg. PandanShah AlamSetia AlamBandar UtamaSemenyihSetia Eco ParkBukit KiaraBandar 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

PREFERRED INTAKE

AugustSeptember