CNY Programme 2024 Enrollment Form
Parent Information
Parent's Name
*
Ms.
Mr.
Mrs.
Prefix
First Name
Last Name
Phone Number
*
Address
*
Street Address
Street Address Line 2
District
City
Postal / Zip Code
Email
*
example@example.com
Emergency Contact Person
First Name
Last Name
Phone Number
Preferred Method of Communication (Please select one or more)
*
Telephone
Whatsapp
Email
Mail
Other
How did you hear about JEMS?
Friend (Please state name in 'Other')
Website
Facebook
Instagram
Printed Media (Newspapers/magazines)
Other
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Student Information
Child's Name
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
Date Picker Icon
Gender
*
Male
Female
School
*
Grade Level
*
Select grade level
PN
K1
K2/Reception
K3/Y1
P1/Y2
P2/Y3
P3/Y4
P4/Y5
Current school level in 2023-2024
Food Allergies or Medical Concerns, if any
Additional Remarks, if any (i.e. Learning needs)
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PN - K3 Workshops schedule
Workshop Fees:
*
$1500 (3 workshops)
$2250 (5 workshops)
$2800 (7 workshops)
14th-16th Feb:
14th Feb (Wed)
15th Feb (Thu)
16th Feb (Fri)
20th-23rd Feb
20th Feb (Tue)
21st Feb (Wed)
22nd Feb (Thu)
23rd Feb (Fri)
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Core Level Workshops (P1-P4)
Programme Fees:
*
$3150 (14-16th Feb 10am-1pm)
$3150 (14-16th Feb 2:30-5:30pm)
$3500 (20-23rd Feb 10am-12:30pm)
$6300 (14-16th Feb 10am-1pm & 14-16th Feb 2:30-5:30pm)
$6650 (14-16th Feb 10am-1pm & 20-23rd Feb 10am-12:30pm)
$6650 (14-16th Feb 2:30-5:30pm & 20-23rd Feb 10am-12:30pm)
14th-16th Feb
14th-16th Feb (Wed-Fri)
20th-23rd Feb
20th-23rd Feb (Tue-Fri)
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Terms & Conditions
Promotional Code / Voucher No. (if any):
Payment Options
*
Cheque payable to: "JEMS Education (HK) Ltd." (mailed or delivered in person to our centre)
Bank Transfer: HSBC Account #400 631313 838 (proof of payment/deposit slip emailed to info@jems.com.hk)
FPS Identifier: info@jems.com.hk (proof of payment/deposit slip emailed - info@jems.com.hk or whataspp - 31881516)
Parent Signature
*
Date
-
Day
-
Month
Year
Date
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