JEMS Annual Character Programme (Junior: 2018-19)

Student Information

Junior Levels 2018-19 (Pre-Nursery - K3)
Child's Name *

First Name Last Name
Date of Birth *

- Day - Month Year
Gender *

Male Female
School *
Grade Level *
Interests
Language(s) Spoken
Food Allergies or Medical Concerns, if any
Area of Desired Character Focus
Additional Remarks, if any (i.e. Learning needs)
Does your child have other siblings enrolled in our Core (Going to P1-P6) Annual Programme this year? *

Yes (Please indicate the student name(s) below under "Other") No

Terms & Conditions
Payment Method *

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 (deposit slip emailed to junior@jems.com.hk)
Cheque or Bank Transfer Number
Parent Name
Parent Signature *

Clear
Date

- Day - Month Year
Date
Should be Empty: