Trial Lesson Registration Form

Trial Lesson Registration Form

Fill up the form and make payment before coming for a trial.
Student Name *

Full Name Surname
Birth Date

Month Day Year
Gender *
Student's Mobile Number *

Phone Number
Student E-mail *
School/Level
Address *

Street Address

Street Address Line 2

Postal Code
Parent's Name *

First Name Surname
Parent's Mobile Number *

Phone Number
Parent's Email *
example@example.com
Please indicate which trial class are you signing up for. We will contact you to make the arrangement if a trial lesson is available. If a trial lesson is not available, we will refund the fee in full. *

2020 Sec 1 Math 2020 Sec 2 Math 2020 Sec 3 E Math 2020 Sec 3 A Math 2020 Sec 4 E Math 2020 Sec 4 A Math 2020 Sec 3 Chemistry 2020 Sec 4 Chemistry 2020 JC1 H2 Math 2020 JC2 H2 Math 1 to 1 Class
Referred by:
Please indicate the parent or student's name.
How did you get to know us? *

Google Search Google Ads Facebook Facebook Ads Instagram Instagram Ads YouTube Walk-by our centres
Fee for trial lesson *
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JC H2 Math Trial lesson $ 120.00 SGD

Secondary-level Trial lesson $ 100.00 SGD

1 to 1 Class $ 150.00 SGD

Total $ 0.00 SGD
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