HomeSchool Session Registration
PLEASE MAKE PAYMENT AND TAKE NOTE OF TRANSACTION NUMBER AND DATE OF PAYMENT BEFORE COMPLETING THIS FORM.
INTERNET TRANSFER DETAILS:
HOMESCHOOL SINGAPORE (HSSG)
UOB BANK (CORPORATE)
ACC NO: 360-310-0687
* Required
Email address
*
Your email
Parent's Name
*
Your answer
Contact Number
*
Your answer
Child's Name
*
Your answer
Child's Date of Birth
*
MM
/
DD
/
YYYY
Preferred Class
*
Choose
ALPHA GYM (Toddlers) - Monday 9.30AM-11AM
ALPHA GYM (Toddlers) - Wednesdays 9.30AM-11AM
ALPHA GYM (Mini HomeSchooler) WEDNESDAY 11.15-12.15
SANDY DANDY (Toddlers) - Tuesday 10.30-12pm
LOL Playland (Jcube) - Friday 3.30-5pm
Preferred Package
*
Choose
1 session @ 59.90/per session (single session)
4 sessions @ $45/per session (package valid for 4 weeks) ($180)
8 sessions @ $40/per session (package valid for 8 weeks) ($320)
12 sessions @ $35/per session (package valid for 8 weeks) ($420)
Trial Class (Toddlers) - $35
Trial Class (Infant) - $25
Transaction number
*
Your answer
1) I hereby indemnify and agree to keep staff, management, servants and organisers of HomeSchool classes fully indemnified against all claims, loss or damage whatsoever in respect of death, injury, accidents, disability or any loss or damage whatsoever arising from any cause in connection with the class or my participation and my child’s participation therein. 2) The staff, management, servants and organisers of HomeSchool classes can contact me through phone and email when necessary. 3) I am aware that photographs/ footages taken during class may contain my child’s and/or my image and that these photographs/footages may be used as publicity material by the HomeSchool Team.
*
ACCEPT
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A copy of your responses will be emailed to the address you provided.
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