English Programme Registration Form

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1. Name: (Required.)

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2. Email: (Required.)

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3. Phone: (Required.)

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4. Which time slots are suitable for a call? (We will call you to confirm the assessment lesson.) (Required.)

10am - 12pm

12pm - 6pm

6pm - 10pm

Other (please specify)

None of the above

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5. Child Age: (Required.)

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6. Which Programme are you interested? (Required.)

Wednesday Programme

Online English Lessons

Home English Immersion: Essential (1 visit/week)

Home English Immersion: Signature (2 visit/week)

Home English Immersion: Elite (3 visit/week)

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7. Assessment Lesson Preferred Timetable (Required.)

Monday afternoon

Tuesday afternoon

Wednesday afternoon

Thursday afternoon

Friday afternoon

Other (please specify)

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8. Does your child follow any of the these dietary restrictions? (Please select all that apply.) (Required.)

Vegan

Vegetarian

Religious Dietary Restrictions (e.g., Kosher, Halal)

Gluten Free

Lactose Free

Weight Loss Diet (e.g. Keto, Low Sugar, Weight Watchers)

Low Salt

Food Allergy (e.g. gluten free, peanut free)

Intermittent Fasting

Other (please specify)

No.

English Programme Registration Form

Question Title

* 1. Name: (Required.)

Question Title

* 2. Email: (Required.)

Question Title

* 3. Phone: (Required.)

Question Title

* 4. Which time slots are suitable for a call? (We will call you to confirm the assessment lesson.) (Required.)

Question Title

* 5. Child Age: (Required.)

Question Title

* 6. Which Programme are you interested? (Required.)

Question Title

* 7. Assessment Lesson Preferred Timetable (Required.)

Question Title

* 8. Does your child follow any of the these dietary restrictions? (Please select all that apply.) (Required.)

1. Name: (Required.)

2. Email: (Required.)

3. Phone: (Required.)

4. Which time slots are suitable for a call? (We will call you to confirm the assessment lesson.) (Required.)

5. Child Age: (Required.)

6. Which Programme are you interested? (Required.)

7. Assessment Lesson Preferred Timetable (Required.)

8. Does your child follow any of the these dietary restrictions? (Please select all that apply.) (Required.)