Parent First name*

Parent Last Name*

Parent Email*

Parent Phone*

Country / Region*
Singapore

Street address*

Town / City*

Postcode / ZIP*

Child's First name*

Child's Last Name*

Child's NRIC/FIN*

last 4 digits and alphabet

Child's DOB*

Name of education advisor, if any (optional)

I am from MindChamps Preschool @

Notes (optional)

Kindly indicate the complimentary class that you would like the attend: Champion Communication or YoungStars

I agree to the term and conditions