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SwimSafer ??????????????

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Your Name *

Your Email *

Contact Number (Whatsapp only) *

Preferred town, MRT or swimming pool *

For example: Tampines, Bishan MRT or your preferred public or condo pool. Do not enter your full address.

Type of Enquiry *Swimming Lessons (Toddlers age 2-4)Swimming Lessons (Kids age 5-11)Swimming Lessons for Adults (Age 12 and above)Swimming Lessons for Ladies (Age 12 and above)Swimming Lessons for Special NeedsSwimSafer Test Enquiry

What is student's swimming competency? *No experienceBeginnerIntermediateAdvanced

What are the swimming goal(s)? *

• Become comfortable in water
• Learn basic strokes
• Improve swimming technique
• Train for an event

Which day(s) you prefer *

• Monday
• Tuesday
• Wednesday
• Thursday
• Friday
• Saturday
• Sunday

Which Timeslots you prefer *

• Anytime (No preference)
• Early morning (before 9am)
• Morning (9am-12pm)
• Early afternoon (12pm-3pm)
• Late afternoon(3pm-6pm)
• Evening (after 6pm)

Do you have access to a pool? *Yes, I have a pool at condo/landedYes, my gym/leisure centre has a poolNo, I will need access to pool

Comment or Message (Any special needs, medical condition or phobia of water that you aware of?)

Privacy Consent *

• By submitting your information and contact details, you consent to our organisation, its affiliates, partners, and authorised service providers collecting, using, and disclosing your personal data provided in this application form or obtained through your membership, for purposes in accordance with the Personal Data Protection Act 2012 and our data protection policy.

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