TODDLER PROGRAMME APPLICATION FORM 嬰幼兒課程報名表
ASD Educational Institute @ HKPS
Submission Deadline 截止日期為 10-9-2025
Your Child's Name(Eng)
*
Last Name
First Name
貴子弟姓名(中文)
*
姓
名
Gender 性別
*
Please Select
Male
Female
N/A
Birth Date 出生日期
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Age (as of 6 Oct 2025) 年齡 (截至 2025 年 10 月 6 日)
*
Please Select
15 months 個月
16 months 個月
17 months 個月
18 months 個月
19 months 個月
20 months 個月
21 months 個月
22 months 個月
23 months 個月
24 months & above 個月以上
Stage applying to 報讀之階段 :
*
Stage 1/階段一 (15-18 months個月)
Stage 2/階段二 (19-23 months個月)
Preferred Time 優先選取時間：
*
上午9:00am – 10:30am
上午10:35am – 12:05pm
Address 地址
*
Address Line 1
Address Line 2
City
State / Province
Postal / Zip Code
Name of Parent/Guardian 家長/監護人姓名
*
Relationship 與兒童之關係
*
Contact no. 聯絡電話
*
Please enter a valid phone number.
Format: 0000-0000.
Email 電郵
*
example@example.com
Submit Application
Should be Empty: