Junior JEMS Annual Character Programmes 2021-2022
[Students in PN to K3]
Parent Information
Parent's Name
*
Ms.
Mr.
Mrs.
Prefix
First Name
Last Name
Phone Number
*
Address
*
Street Address
Street Address Line 2
District
City
Postal / Zip Code
Email
*
example@example.com
Secondary Email
example@example.com
Emergency Contact Person
First Name
Last Name
Phone Number
Preferred Method of Communication (Please select one or more)
*
Telephone
Email
Whatsapp
How did you hear about JEMS?
Friend (Please state name in 'Other')
Website
Facebook
Instagram
Printed Media (Newspapers/magazines)
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Student Information
Junior Levels 2021-2022 (Pre-Nursery - K3)
Child's Name
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
Date Picker Icon
Gender
*
Male
Female
School
*
Grade Level in 2021-2022
*
Select grade level in 2021-2022
PN
K1
K2/Reception
K3/Year 1
Language(s) Spoken
Interests
Food Allergies or Medical Concerns, if any
Area of Desired Character Focus
Additional Remarks, if any (i.e. Learning needs)
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Pre-JJ (PN) Level Class Time
Select your preferences below
Pre-JJ 1st Preference:
*
Pre-JJ 2nd Preference:
*
Pre-JJ 3rd Preference:
*
Other Preferred Day and Time:
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J1 (K1) Level Class Time
Select your preferences below
J1 1st Preference:
*
J1 2nd Preference:
*
J1 3rd Preference:
*
Other Preferred Day and Time:
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J2 (K2) Level Class Time
Select your preferences below
J2 1st Preference:
*
J2 2nd Preference:
*
J2 3rd Preference:
*
Other Preferred Day and Time:
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J3 (K3) Level Class Time
Select your preferences below
J3 1st Preference:
*
J3 2nd Preference:
*
J3 3rd Preference:
*
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Programme Fee & Service Options
Academic Year: September 2021 - June 2022 (10 months, 38 classes)
Promotional Options (Choose 1 option only)
Buy $7000, Get $10000 credit (offer ends 30th June 2021)
10% Off Early bird Discount for full year enrollment (offer ends 31st July 2021) - [$12996 after discount applied)
Select Fee Option
*
Full Year - $14400 [$380/class]
5 Consecutive Months - $8400 [$420/class] *$2000 refundable class deposit applied for this option*
1st Month Trial - $1920 [$480/class]
Indicate Enrolment Month(s) Preferred
*
Complimentary Services
*
Payment Methods
*
Cash (submitted in-person)
Cheque made payable to "JEMS Education (H.K.) Limited" (mailed or delivered in person to our center)
Direct deposit to HSBC account no. #400 631313 838 (proof of payment/deposit slip emailed to junior@jems.com.hk)
FPS Identifier: info@jems.com.hk (payment receipt emailed to junior@jems.com.hk)
Additional Notes/Requests/Promo Code
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Terms & Conditions & Coronavirus Precautions
Terms & Conditions
*
Coronavirus Precautions Update & Declaration
*
Parent Name
Parent Signature
*
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Date
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Day
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Month
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