REGISTRATION FORM - MEMBER (FULL DAY)
About You
Are you a KIDS SPACE member?
Please Select
YES
NO
Comoclub and KIDS SPACE are separate membershipprograms, each offering its own unique experiences and perks.
Comoclub Member No
Please input your Comoclub member number to earn Comocredits on your purchases.
For non-members, please sign up
here
.
Name of Parent/Guardian
*
Mr.
Mrs.
Ms.
Mdm.
Prefix
First Name
Last Name
Contact No
*
Email
*
camper@example.com
Emergency Contact Name
*
Mr.
Mrs.
Ms.
Mdm.
Prefix
First Name
Last Name
Emergency Contact No
*
Emergency Contact Relationship
*
Getting to Know Your Child
Name of Child
*
Child's First Name
Child's Last Name
Date of Birth
*
-
Day
-
Month
Year
Child's Age
*
In Years (Note: Camper's Minimum Age Requirement: 4Y)
Child's Gender
*
Please Select
F
M
Is your child currently in school?
*
Please Select
YES
NO
If yes, please specify
Please Select
Nursery
Kindergarten
Primary
Does your child suffer from any allergies/ dietary requirements?
*
Please Select
YES
NO
Please specify
What are your child's strengths?
Is there anything else that we should be made aware of? Please specify:
Would you like to register for another child?
*
Please Select
YES
NO
Getting to Know Your Child (2):
Name of Child (2)
*
Child's First Name
Child's Last Name
Date of Birth (2)
*
-
Day
-
Month
Year
Child's Age (2)
*
In Years (Note: Camper's Minimum Age Requirement: 4Y)
Child's Gender (2)
*
Please Select
F
M
Is your child currently in school? (2)
*
Please Select
YES
NO
If yes, please specify (2)
Please Select
Nursery
Kindergarten
Primary
Does your child suffer from any allergies/ dietary requirements? (2)
*
Please Select
YES
NO
Please specify (2)
What are your child's strengths? (2)
Camp Selection:
Each Camp Day booking is valid for one and/or two child per day only.
My Products
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( X )
4 Oct: Little Racers Day (F1 Special Edition)
$
130.00
SGD
Number of Kid(s)
Price
Sat
1
2
$
130.00
SGD
Item subtotal:
$
0.00
SGD
20 Oct: Festive of Light (Deepavali PH Special)
$
130.00
SGD
Number of Kid(s)
Price
Sat
1
2
$
130.00
SGD
Item subtotal:
$
0.00
SGD
13 – 17 Oct (Lil’ Palette): School of Wizardry
$
130.00
SGD
Number of Kid(s)
Price
Mon
1
2
$
130.00
SGD
Tues
1
2
$
130.00
SGD
Wed
1
2
$
130.00
SGD
Thu
1
2
$
130.00
SGD
Fri
1
2
$
130.00
SGD
Item subtotal:
$
0.00
SGD
21 – 24 Oct (Show & Tell): A Spooky Good Time
$
130.00
SGD
Number of Kid(s)
Price
Tues
1
2
$
130.00
SGD
Wed
1
2
$
130.00
SGD
Thu
1
2
$
130.00
SGD
Fri
1
2
$
130.00
SGD
Item subtotal:
$
0.00
SGD
24 – 28 Nov (Show & Tell): “Young Entrepreneurs”
$
130.00
SGD
Number of Kid(s)
Price
Mon
1
2
$
130.00
SGD
Tues
1
2
$
130.00
SGD
Wed
1
2
$
130.00
SGD
Thu
1
2
$
130.00
SGD
Fri
1
2
$
130.00
SGD
Item subtotal:
$
0.00
SGD
1 – 5 Dec (Lil' Palette): "Galaxy Guardians"
$
130.00
SGD
Number of Kid(s)
Price
Mon
1
2
$
130.00
SGD
Tues
1
2
$
130.00
SGD
Wed
1
2
$
130.00
SGD
Thu
1
2
$
130.00
SGD
Fri
1
2
$
130.00
SGD
Item subtotal:
$
0.00
SGD
8 – 12 Dec (SRT: 8 - 10 Dec only): The True Story of Christmas!
Note: SRT is only available from Mon to Wed.
$
130.00
SGD
Number of Kid(s)
Price
Mon
1
2
$
130.00
SGD
Tues
1
2
$
130.00
SGD
Wed
1
2
$
130.00
SGD
Thu
1
2
$
130.00
SGD
Fri
1
2
$
130.00
SGD
Item subtotal:
$
0.00
SGD
15 – 19 Dec (Lil’ Palette): Santa’s Workshop
$
130.00
SGD
Number of Kid(s)
Price
Mon
1
2
$
130.00
SGD
Tues
1
2
$
130.00
SGD
Wed
1
2
$
130.00
SGD
Thu
1
2
$
130.00
SGD
Fri
1
2
$
130.00
SGD
Item subtotal:
$
0.00
SGD
Consent
Consent to pick-up by another adult
*
Please Select
YES
NO
Name & Relationship
*
E.g.: John - Grandfather
Consent to trips outside of KIDS SPACE's building
*
Please Select
YES
NO
Do you consent to Photography & Videography for Marketing purposes?
*
Please Select
YES
NO
Do you want to receive updates on Classes, Camps & Events at KIDS SPACE?
*
Please Select
YES
NO
Updates will be sent via Whatsapp, E-mail or SMS.
Camp Theme
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