Section I: Child's Particular
First Name:
Last Name:
Hanyu Pinyin:
ID No.:
ID Type: BC FIN UIN
Nationality:
Race:
Date of Birth:      
Place of Birth:
Gender: Male Female
No. of Siblings: 0 1 2 3
Birth Order: 1st 2nd 3rd
 
Section II: Other Information
Preferred Date
of Commencement:      
Preferred Session: AM PM Full Day
Flexi-Care Before/After School
How did you come to know about House of Kids:
Friends Media Signboard Others
Special Remarks:
 
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