TODDLER PROGRAMME APPLICATION FORM 2025-2026 (2nd term)

TODDLER PROGRAMME APPLICATION FORM 嬰幼兒課程報名表

ASD EDUCATIONAL INSTITUTE
Submission Deadline 截止日期為 7-12-2025

Toddlers who have enrolled in Stage 2 in the 1st term but are still under 24 months on 10 Jan 2026 are also eligible for Stage 3. 已報名第一期第二階段，但截至2026年1月10日尚未滿24個月的幼兒，將符合第三階段的資格。
Your Child's Name(Eng)*

Last NameFirst Name
貴子弟姓名(中文)*

姓名
Gender 性別*
Birth Date 出生日期*

MonthDayYear
Age (as of 10 Jan 2026) 年齡 (截至 2026 年 1月 10日)*
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)Stage 3/階段三 (24 mths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

CityState / 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.
Email 電郵*
example@example.com
Should be Empty:

TODDLER PROGRAMME APPLICATION FORM 嬰幼兒課程報名表