Register Your Interest

I am enquiring for:

Are you a SAFRA / HTNS Member? Yes No

Name:

Email:

Contact Number:

Learner's Name:

Learner's Date of Birth

Location

Does learner have any swimming experience?

Medical background (if any):

How did you come to hear about us?

Facebook / Instagram

Google

Flyer

Through a friend

Roadshow

Other...

Promo code:

Privacy Policy: By providing the information listed above and submitting this register of interest form, you hereby consent to the collection, use and disclosure of the personal data provided in this form by SAFRA, for the purposes of managing and/or responding to this interest registration, and any purposes reasonably related to this interest registration, including but not limited to contacting you on the interest registration and transmitting your personal data to third parties engaged or working in collaboration with SAFRA on the subject matter of my interest registration.

For more information on how SAFRA uses personal data, please refer to SAFRA's Privacy Policy.