Blueinno Course Registration Form

Blueinno Course Registration Form

Enrollment is on a first-come first-serve basis and will be confirmed upon settlement of full payment.
You are filling in this form for*

Regular CourseSummer Holiday CampFree AssessmentPrivate Holiday Camp
Are you joining on-site or online?*

On-siteOnline via Zoom

Information of Student 學生資料

We will use the following information for educational purpose.
Student Name 學生姓名 (to be printed on certificates)*
Student Birth Dates 學生出生月日年*

MonthDayYear
Gender 性別*
Student School Name 就讀學校*
e.g. St. Happy School
Student School Grade/Year in 2023/2024 就讀年級*
e.g. Primary 1
Friends /Sibling Referral 朋友/兄弟姊妹轉介
Please put down their names
I would like to have my package 包裹收件方式 (for online classes)

Pick up at Prince Edward Blueinno OfficeDelivered by SFExpress
Your Postal Address 收件地址 (for online class)

Information of Guardian/Parent 監護人／家長聯絡資料
Contact Person 聯絡人*
e.g. Mr.Leung, 梁先生
Parent's Contact Phone Number 家長聯絡電話*
Parent's Email 家長電郵*
example@example.com
Can be reached 聯絡方式 (for confirmation)*

by Phoneby Whatsapp (will use the phone number above)Email
Residential District 居住區域

Regular Course Selection