Trial Lesson Registration Form
Fill up the form and make payment before coming for a trial.
Student Name
*
Full Name
Surname
Gender
*
Please Select
Male
Female
N/A
Student's Mobile Number
*
-
Phone Number
Student E-mail
*
School/Level
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal Code
Parent's Name
*
First Name
Surname
Parent's Mobile Number
*
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Phone Number
Parent's Email
*
example@example.com
Please indicate which trial class are you signing up for. We will contact you to make the arrangement if a trial lesson is available. If a trial lesson is not available, we will refund the fee in full.
*
Sec 1 Math
Sec 2 Math
Sec 3 E Math
Sec 3 A Math
Sec 4 E Math
Sec 4 A Math
Sec 4 Chemistry
JC1 H2 Math
JC2 H2 Math
1 to 1 Class
Other
Referred by:
Please indicate the parent or student's name.
How did you get to know us?
*
Google Search
Google Ads
Facebook
Facebook Ads
Instagram
Instagram Ads
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Walk-by our centres
Other
Fee for trial lesson
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( X )
JC H2 Math Trial lesson
$120.00 SGD
$
120.00
SGD
Secondary-level Trial lesson
$100.00 SGD
$
100.00
SGD
1 to 1 Class
$150.00 SGD
$
150.00
SGD
Total
$0.00 SGD
$
0.00
SGD
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