The Lodestone's Registration Form

THE LODESTONE SOLUTIONS PLT

10 USJ 10/1, TAIPAN BUSINESS CENTRE, 47620, SUBANG JAYA, SELANGOR, MALAYSIA

thelodestonesolutions@gmail.com

www.thelodestonesolutions.com

(014) 9638897

Parents Name

First NameMiddle InitialLast Name

Birth Date

MonthDayYear

Participants Name

First NameLast Name

Gender

MaleFemale

Of which country are you a citizen?

Parents/Guardians Phone

Parents/Guardians E-mail Address

example@example.com

Mailing Address

Street Address

CityState

Postal / Zip Code

Emergency Contact

First NameLast Name

Relationship

Email

example@example.com

Phone Number

Please enter a valid phone number.

Is your child presently being treated for any injury sickness, or taking any form of medication for any reason?

NoYes, Please Specify

Is your child allergic to any type of food or medication?

NoYes, please Specify

School or Equivalent Name

Current School Standard/Grade

Monthly Class/Program/Course Rates

(These rates are by default monthly rates. Please refer to the facilitator if the rates have not been determined)

Class/Program/Course/ Intake Date

Please state the date of the first class intake.

1.1.Fees will be payable in advance on a monthly basis (before the 7th of every month or 3 days before the start of the next classes)

1.2. The sessions take place only by appointment and in case the student/client should not be on time for any appointment, the session will end at the scheduled time, to avoid impediment of the programmed sessions of other students/clients of the Lodestone Centre of Achievements.

1.3.In the event the student is unable to attend a particular session, the session will be cancelled. There will be no replacement unless we are notified two days in advance , however there an exceptions for Medical Emergencies with MC's(Medical Certification) provided.

1.4.However if there are more than two (2) notified events of abseenteism in any one particular month, only the first two sessions will be replaced. Replacement classes will not be carried forward from one

1.5. There will be no deduction of fees for sessions not attended. Neither will there be any refund, in full month to the next. or partial, of fees paid if the student/client decides to discontinue programme.

1.6.Sessions continue on Public Holidays and unless mentioned thereof. However if the student misses more than two sessions due to a public holiday in a particular month, sessions will be replaced and a new time slot will be given by The Lodestone.

1.7 Late payment fees will apply if payments delay more beyond Due Date of payments. Late payment Fee of RM 10 per day will be imposed on late payments.

I AGREE TO THE TERMS AND CONDITIONS

Agree to all terms and conditions

Sign Here to Submit your Registration

Payment Method:

Online Banking(Preferred)Credit Card(Upcoming)Cash

The Lodestone's Registration Form

Education

Terms and Conditions