LM - Application Form

Application Form - Max Towers

Early Years at Learning Matters
Child's Name

First NameMiddle NameLast Name
Gender
Date of Birth

MonthDayYear
Date
Upcoming Parent Visits at Max Towers
Preferred Year of Enrolment at Max Towers
Preferred Programme for 2025-2026 at Max Towers
Please note - If you miss your scheduled parent visit, you will be required to reinitiate the process from the beginning.
Family Details

Parent/Guardian 1 Details
Name

First NameLast Name
Marital Status
Email Id
example@example.com
Phone Number

Country CodePhone Number
Occupation
Organisation
Parent/Guardian 2 Details
Name

First NameLast Name
Email Id
example@example.com
Phone Number

Area CodePhone Number
Occupation
Organisation
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Tell us why you wish to have your child at Learning Matters?
Tell us about your parenting beliefs. Share an example of this in practice.
What do you feel is the role of an Early Years Programme?
prevnext( X )
Parent Visit at Learning Matters
2,500.00INR

Total

0.00INR
Please note - The application fees, once paid, is non-refundable. The same will be adjusted in your term fees upon enrolment.
Signature
Should be Empty:

Application Form - Max Towers