Please provide information on the Parent / Guardian
Title:
*
Please Select
Mr
Mrs
Miss
Ms
Dr
Prof
Please choose your given title
Name:
*
First Name
Last Name
Relationship to Student:
*
Email Address:
*
Confirm Email Address:
*
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Contact Method:
Please Select
Email
WhatsApp
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Please provide your child's information
Name:
*
First Name
Last Name
Date of Birth:
*
-
Day
-
Month
Year
Gender:
*
Please Select
Male
Female
Current Grade / Year Level
*
Please Select
Primary
Secondary
Current School (if applicable)
Nationality:
*
Please Select
Thai
British
American
Canadian
Vietnamese
Malaysian
Australian
Other
Special Educational Needs or Learning Support (Yes / No)
*
Please Select
Yes
No
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Student Program Selection
Which program are you applying for?
*
Preferred Subjects:
Please Select
English
Math
Science
Humanities
Other Subjects
If there are any additional subjects or areas of learning that your child is interested in, and which are not listed above, please let us know here. This helps us explore new opportunities and expand our program offerings to better meet the needs of our students.
Continue
Continue
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Additional Information
How did you hear about us?
Please Select
Website
Social Media
Friend
Other
Any additional notes or questions?
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Agreement & Submission
Signature
*
Once you have signed and submitted this form, our team will contact you within 48 hours to guide you through the next stage of the process.
Should be Empty: