KUMON STUDENT TESTIMONIAL FORM

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Has your child/children progressed well / achieved something special through Kumon study? Do you as the parent want to share a positive testimonial? Tell us all about it. Fill out the form below for publishing on our Kumon SA Facebook page and/or Kumon website success stories page.

Email *

PARENT DETAILS

Parent Name & Surname *

Contact Number for Follow Up *

CHILD INFORMATION

Child's Name & Surname *

Child's current grade *

Kumon Centre that child attends *

Name of school *

Information for testimonial (you can tick more than one, and/or supply additional information under "Other") *

My child achieved a desired Kumon study goal (e.g. passed a level, ASHR, completed)

My child achieved well / improved in their school marks

My child achieved a positive change in ability / attitude

My child achieved an award / accolade for another type of activity

I, the parent, would like to give a positive testimonial to be used on social media channels and / or marketing materials

Other:

Required

Give us some more detail about your child's achievement

Parent testimonial

Photograph - would you like to send in a photograph? If yes, please send photo on email to PR@kumon.co.za or WhatsApp to 0609677739 *

Yes, I do want to send a photo.

No, I will not be sending any photos.

PERMISSIONS FOR CHILD

I, the parent / guardian of this child, grant permission as follows (please select the appropriate options below):

Social Media Channels (Facebook & Instagram)

For my child's name and photograph to be used on Kumon SAs social media channels

For my child's name ONLY to be used on Kumon SAs social media channels

Clear selection

Kumon SA website (kumon.co.za and kumon.org)

For my child's name and photograph to be used as a success story on the website

For my child's name ONLY to be used as a success story on the website

Clear selection

Can we name the school in our social media posts? *

Yes

PERMISSIONS FOR PARENT TESTIMONIAL

I grant permission for Kumon SA to use my words / testimonial above as follows:

Social media (Facebook and Instagram)

Yes

Clear selection

Kumon SA marketing material

Yes

Clear selection

DISCLAIMER

Kumon Education SA is thankful for all good news stories that are sent to us and will endeavour as far as possible to use these stories in upcoming social media posts, add to the Success Stories on the website and / or use in marketing materials.

However, submitting this form is NOT A GUARANTEE that your story will be used. There may be circumstances which make the story unsuitable or prevent Kumon Education SA from utilising it.

The Kumon Office will however acknowledge receipt of any story that is submitted and will advise you of what the next steps will be.

Thank you in advance for your understanding and co-operation.

I, the parent / guardian who is submitting this form, have read and understood the contents of the disclaimer above. *

Yes

A copy of your responses will be emailed to the address you provided.

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