XSat Global
Lens Sports Registration Form
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First name:
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Last name:
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Date of birth:
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Gender:
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Male
Female
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Nationality:
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Area of residence :
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Days to Attend:
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Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
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Preferred Location:
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Raffles International School (Umm Suqeim 3)
Clarion School
Private
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Preferred coach:
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Zulfiya
Alaa
Abyalay
Any
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Program:
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Fitness
Nutrition
Learn to Swim for Kids
Stroke Development for Kids
Swim Squads for Age group
Adult Swimming
Aqua Fitness
Camp
Afterschool Activity
Toddler Private Swimming
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Does person/applicant has special medical conditions, if yes, please specify
If yes, please mention::
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Parent's Name:
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Phone:
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E-mail:
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How did you hear about us?:
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Social Media
School
Search Engine
Flyers/Posters
Word of Mouth
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