Registration for the School Holiday Program at Afilla Learning Centre
Hi parents and guardians! Kindly fill up this form with details of your child to register for our Holiday Program here at ALC! If you wish to register for more than one child, kindly fill up a fresh set of registration form and submit them separately.

The fee per child is RM 200.
Kindly be reminded that this program is only open to kids from age 5 to 12 years old.

We look forward to welcoming our new friends!
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Child's name *
Date of birth *
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DD
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Child's gender *
Parent/Guardian's name *
Mailing address *
Parent/Guardian's contact number *
To further help us cater to your child, please provide a brief description with regards to your child's character, personality, interests, etc. *
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