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Student's name*

First Last

My child is a*

Parent's name*

First Last

Parent's mobile*

Parent's email*

Centre you'd like to attend*

Preferred Appointment Date

Preferred Appointment Time

:

Note: Only available 11am - 7.30pm Mon - Fri, 9am - 7.30pm Weekends. Bookings MUST be confirmed by phone or SMS prior to appointment date.

Any specific requirements?

e.g. language (English, Chinese, Korean), enrolment / subject specific

Name

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