Coaching Enquiry Form – Adults Program

From the House of PICKLISM

Adults Program

CHAMPIONSHIP 2025

Venue: Ice Water Sports Arena, Express Avenue.

Date: March 29, 2025 – March 30, 2025

Coaching Enquiry Form

Name of Student

Date of Birth

Age

Gender

Male Female

Parent/Guardian Name (if under 18)

Contact Number

Alternate Number

Email

Date of Enquiry

Programmes Interested In (Please tick)

Intermediate (Mon/Wed/Fri – 6–8 PM) Advanced (Tue/Thu/Fri – 6–8 PM)

Additional Notes / Requirements:

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