HABA Learning Program Registration Form

Registration Form

HABA Learning Program 2022
CHILD INFORMATION:
Child’s Name

First NameLast Name
Birth Date

MonthDayYear
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name

First NameLast Name
Phone Number

+65Phone Number
E-mail
Which areas do you prefer your child to learn in the program?
Type of Program
Module Offer

Other
Preferred SCHEDULE

Choose your preferred day and time below:
Preferred Day
Preferred Time
Should be Empty: