Pebbles Summer Fun E-Learning Programme Enrollment Form
**Parents will receive confirmation by email regarding enrolment and payment details.
Email address *
1. Student’s English Name: *
Same as birth certificate
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 will your child be attending next year? *
11. School level for the coming school year (2020-2021) *
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