First Connections Programme Open Day
Date: Saturday 24th October 2020

Time: 10am-12pm

Address: The Energy Source. 204 Jalan Limau Manis, Bangsar Park, Kuala Lumpur 59000
Contact us at +60 16-260 8895 or admin@theenergysource.com.my
Email address *
Full Name *
Contact Number *
Relationship to Child/ren *
Child's Full Name *
Child's Age *
What are you looking for in an EIP for your child? *
Required
Our First Connections Programme is inclusive, allowing children of all abilities to join. Please advise us below if your child has any additional needs; a medical diagnosis; developmental delay or speech delay etc. *
Where did you hear about the Open Day? *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Tesscotia Sdn Bhd. Report Abuse