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Child's First Name *

Child's Last Name *

Birth Date

Gender Male
Female

Preferred Location Bamboo Grove, Wan Chai Bel-Air, Pok Fu Lam Braemar Hill, North Point Chinese International School, Braemar Hill Dynasty Court, Mid-Levels Harbour Green, Tai Kok Tsui Hermitage, Mong Kok La Chouette Ecole, Sai Ying Pun Laguna Verde, Hung Hom LRC, Mid-Levels Parc Royale, Tai Wai South Bay Close, Repulse Bay Sunny Garden, North Point Waterfront, Tsim Sha Tsui

Child's Special Medical Condition and/or Allergies

Parent's Information

Parent/Guardian's First Name

Parent/Guardian's Last Name

Flat No. / Building Name

Street / Village

Mobile Number

Relationship to Child Mother Father Guardian

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Email address *

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