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 *

Address *

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. *

2019 Sec 1 Math 2019 Sec 3 AE Math 2019 Sec 4 AE Math 2019 Sec 3 Chemistry 2019 Sec 4 Chemistry 2019 JC1 H2 Math 2019 JC2 H2 Math
Fee for trial lesson *

JC H2 Math Trial lesson $ 120.00 SGD

Secondary-level Trial lesson $ 100.00 SGD

Total $ 0.00 SGD
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