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Enrol My Child - Registration Form
Choice of Venue
Please Select
The Grassroots Club
Others
Section A: Particulars Of Child
Name of Child
*
Birth Cert. No.
*
Sex
*
Male
Female
Date of Birth
*
Age of Child
*
Address
*
Postal Code
*
Name of School / Centre
Medical History
(e.g. Asthma, Epileptic, Fits, Allergy, etc)
Section B: Particulars Of Parent / Guardian
Parent's / Guardian's Name
*
Telephone (Home)
*
Telephone (Office)
Mobile / Beeper
*
Email Address
*
Section C: Details Of Programmes
Playgroup
Student Care & Development
Tuition
Speech & Drama
Junior Science Programme
Music For The Intelligent Mindâ„¢
Arts
Dance
Public Speaking
Adventure
Holiday Camp
Terms & Conditions:
Payment of fees must be made before start of class to confirm place. For payment by cheques, please make them payable to
Learning Horizon Pte Ltd
. Any fees paid is
NON-REFUNDABLE
if withdrawal is effected before the commencement of the term/class/module etc.
Should the class falls on a public holiday, there will be a replacement class. For classes that are cancelled/ postponed and are not indicated in the calendar of classes, replacement classes will be conducted.
Refunds will be given if the classes are cancelled and not replaced.
One month notice needs to be given for all classes.Any withdrawal/ refund must be accompanied by a Withdrawal/ Refund Form. Verbal withdrawals will not be accepted.
*
I had read and agree with the terms & conditions
Acknowledgement:
I understand that all due care for my child's safety will be exercised by the teachers at all times. In the event of any acidents or injuries that should occur to my child, I will not hold Learning Horizon Pte Ltd responsible and agree to indemnify them against any claims.
*
I acknowledge the above
* Fields are required
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