TODDLER PROGRAMME APPLICATION FORM 2024-2025

ASD EDUCATIONAL INSTITUTE TODDLER PROGRAMME APPLICATION FORM 嬰幼兒課程報名表
Submission Deadline 截止日期為 25-9-2024
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 5 Oct 2024) 年齡 (截至 2024 年 10 月 5 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)
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:

ASD EDUCATIONAL INSTITUTE TODDLER PROGRAMME APPLICATION FORM 嬰幼兒課程報名表