Lion City Sailors Academy

Student details

Parent details

Acknowledgement

Student details

Full name*

Student ID

Gender*

Date of Birth (DD/MM/YYYY)*

Programme*

Date of Joining (DD/MM/YYYY)

Home address

Preferred Training Venue*

Home Phone

Student Mobile

Photo

Remarks

Playing Experience*

Allergies or medical conditions

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Parent details

Main Parent Details:

Relationship

Full Name*

Mobile*

Office

Email*

Company

Designation

Secondary Parent Details:

Relationship

Full Name

Mobile

Office

Company

Designation

Acknowledge and E-sign

I have read and accept the Terms and Conditions. I understand that the Terms and Conditions are subjected to changes.

Parent’s Signature

Trial Student Registration Form

Main Parent Details:

Secondary Parent Details: