Parent Information
CNY Programme 2025 Enrollment Form
Parent's Name
*
Ms.
Mr.
Mrs.
Prefix
First Name
Last Name
Phone Number
*
Format: 0000-0000.
Address
*
Street Address
Street Address Line 2
District
City
Postal / Zip Code
Email
*
example@example.com
Emergency Contact Person
First Name
Last Name
Phone Number
Format: 0000-0000.
Preferred Method of Communication (Please select one or more)
*
Telephone
Whatsapp
Email
Mail
Other
How did you hear about JEMS?
Friend (Please state name in 'Other')
Website
Facebook
Instagram
Printed Media (Newspapers/magazines)
Other
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Student Information
Child's Name
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
Date Picker Icon
Gender
*
Male
Female
School
*
Grade Level
*
Select grade level
PN
K1
K2/Reception
K3/Y1
P1/Y2
P2/Y3
P3/Y4
P4/Y5
Current school level in 2024-2025
Food Allergies or Medical Concerns, if any
Additional Remarks, if any (i.e. Learning needs)
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K1 - K3 Workshops schedule
Workshop Fees:
*
$1500 (3 workshops)
$2250 (5 workshops)
$2800 (7 workshops)
$3500 (10 workshops)
27th-28th Jan:
27th Jan (Mon)
28th Jan (Tue)
3rd-7th Feb:
3rd Feb (Mon)
4th Feb (Tue)
5th Feb (Wed)
6th Feb (Thu)
7th Feb (Fri)
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Core Level Workshops (P1-P6)
Workshop Fees:
*
$750 per workshop (1-3 Workshops)
$700 per workshop (4-5 Workshops)
27th-28th Jan
27th Jan (Mon)
28th Jan (Tue)
3rd-7th Feb
3rd Feb (Mon)
4th Feb (Tue)
5th Feb (Wed)
6th Feb (Thu)
7th Feb (Fri)
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Terms & Conditions
Promotional Code / Voucher No. (if any):
Payment Options
*
Cheque payable to: "JEMS Education (HK) Ltd." (mailed or delivered in person to our centre)
Bank Transfer: HSBC Account #400 631313 838 (proof of payment/deposit slip emailed to info@jems.com.hk)
FPS Identifier: info@jems.com.hk (proof of payment/deposit slip emailed - info@jems.com.hk or whataspp - 31881516)
Parent Signature
*
Date
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
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