Class Enrolment Form

Name

Email Address

Please fill in the student's Chinese Name if any.

Please fill in Student's Date of Birth. DD/MM/YYYY

Student's Gender:

Male

Female

The student's daytime school name and school postcode

Student‘s Mainstream School Grade Level

Does the student speak Mandarin？

Yes

Emergency Contact:

Father's Mobile

Mother's Mobile

Care Taker's Mobile

Tick one of the boxes above for emergency contact purpose. If you tick "Caretaker's Mobile,
please fill out the Caretaker detail in the next field. Otherwise, skip Caretaker's detail.

Select Chinese School Site.

Select current Chinese class grade level.

The Student Medical Condition/ Food Allergies:

Yes

Does the student has any medical condition or food allergies.List out the conditions for teacher to give special care.

Can the school use the student's picture and video for Social Media and school promotion purposes?

Yes

The school is seeking parents or caretakers' permission to use and publish photo and/ or video of the
student on social media or promotional material for the school. The school will honour student's privacy.

Please select one. If other, please specify in the next question.

List out the other item(s) that the school teacher needs to know about the student. Otherwise, state ‘No'.

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