CAPE Student Registration Form
Fill the form carefully to register your student. Posts marked with a red star are compulsory.
Parent/Guardian's Name
*
First Name
Middle Name
Last Name
Mobile Number
*
Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student E-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
School
e.g. ASJA Girl's College
Does your child have special needs requirements?
*
Yes
No
If yes, please
Type a label
state the name(s) of the learning disorder(s)/disabilities.
Level
*
Form 4
Form 5
Course and Price List
*
1-on-1 Communication Studies ($90/1 hr, $150/2hr session)
1-on-1 Literatures in English ($90/1 hr, $150/2hr session)
Group Communication Studies ($280/month)
Group Literatures in English ($280/month)
Communication Studies & Literatures in English Package Deal ($450 per month)
Start Date
*
September 2023
January 2024
Disclaimer
*
All personal information will be used for registration purposes only. Additionally, we must contact you for updates concerning our services and your selections in this form. If you agree to be contacted, click this option.
Please verify that you are human
*
Submit
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