Pebbles Interview &  Language Fun Enrollment Form
**Parents will receive confirmation by email regarding enrolment and payment details.
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Email *
1. Student’s English Full Name: *
2. Student’s  Chinese Name: *
3. Student's Date of Birth *
MM
/
DD
/
YYYY
4. Primary Contact Person *
5. Primary Contact No. *
6. Primary Contact Email *
7. Secondary Contact  Person. *
8. Secondary Contact  No. *
9. Secondary Contact  Email *
10. Which school is your child attending this year? *
What is your child's school level in 2021-2022? *
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