KidsandplaytutorialcenterAppointment Form

1
What is your child's name? * This field is required.
First Name
Last Name
2
When is your child's birthday?
3
What is your child's grade level and school? Just write "non-grader" if your child is not yet attending formal schooling.
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4
Parents or guardian's name:
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5
Contact numbers:* This field is required.
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6
Preferred date & time of appointment:* This field is required.Please do not skip this portion to properly assist you.
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Preferred type of packagePlease choose one.
Option 1: Package A - Single-subject assistance for P2,400/month. With 3 meetings in a week or a total of 12 sessions in a month with a minimum of 6-month contract.
Option 2: Package B - Three-subject assistance for P3,300/month. With 3 meetings in a week or a total of 12 sessions in a month with a minimum of 6-month contract.
Option 3: Package C - All-subject assistance for P5,000/month. With 4 meetings in a week or a total of 16 sessions in a month and with free 30 mins. extension twice in a week. A minimum of 6-month contract.
Option 1, 2 or 3
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