Select Your Package | Inspire Mum & Baby

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Course Details

Back in Shape Program Private Class

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1 Applicant Details

First Name: *

Last Name: *

Date of Birth: * YYYY-MM-DD

NRIC/Passport: *

Nationality:

Profession:

Mailing Address: *

Country: *

Mobile: *

Alt Contact:

Email: * Your login account will be created and password will be generated.

Other Info/Instructions: For private classes, please indicate which group you are in.

2 Emergency Contact Details

Name: *

Relationship: *

Contact Number: *

3 Additional Details

EDD (for pre-natal) YYYY-MM-DD

Medical Conditions / Allergies:

Payment Details

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Promotion Code (if any)

About Inspire Mum

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Inspire Mum & Baby

188-2 Tanjong Katong Rd
Singapore 436990

Contact: 9234 1866 (SMS/Whatsapp/Call)
Email: info@inspiremumbaby.com
Contact Us | Find Our Studios

In the event we are not reachable, we will try our best to call back as soon as possible.

Already Registered?

First Time Here?

Back in Shape Program Private Class

Select Package: *

Is the class venue in Sentosa?*

Inspire Mum & Baby

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