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Registration Form

Home > Resources > Registration Form >

Registration Form

Child's Particulars

ID No: *

ID Type: *

BC

FIN

UIN

First Name: *

Last Name: *

Hanyu Pinyin:

Nationality: *

Race: *

Date of Birth: *

Present Age: *

Place of Birth: *

Gender: *

Female

Male

Birth Order: *

1st

2nd

3rd

Number of Siblings: *

Previous Care Arrangements: *

Parents

Relatives

Nanny

Childcare Centre

Others - Please Specify Below

Others:

Person you authorise to pick up your child other than you, yourself or driver

Name: *

NRIC: *

Relationship: *

Transport Type: *

Car

Bus

Others

Vehicle No:

Contact No in case of emergency (in the event that you or your spouse could not be reached)

Name: *

Telephone: *

Contact No of child's/family doctor

Name: *

Telephone: *

Special instructions concerning child (Please state allergies if any):

Share with us your child's habits, character traits & interests.:

Preferred date of commencement: *

Centre: *

Aroozoo

Baby Haven @ 3 Halifax

Buckley

Claymore

Katong

Halifax

Lakeside

Mount Emily

Ridgewood

Raffles

Serangoon

Siglap

Jubilee Park

Whitley

Tanglin

Session: *

AM

PM

Full Day

Flexi

How you came to know about Pat's Schoolhouse: *

Friends

Media

Signboard

Others

Others:

Primary contact : *

Father

Mother

Father's Particulars

Name as in NRIC: *

NRIC/Passport No: *

Date of Birth: *

Race : *

Nationality : *

Occupation: *

Employer's Name:

Employer's Address:

Business Telephone:

Pager/Handphone: *

Email Address: *

Home Address: *

Home Telephone: *

Mailing Address (if different from above):

Mother's Particulars

Name as in NRIC: *

NRIC/Passport No: *

Date of Birth: *

Race : *

Nationality : *

Occupation: *

Employer's Name:

Employer's Address:

Business Telephone:

Pager/Handphone: *

Email Address: *

Home Address: *

Home Telephone: *

Mailing Address (if different from above):

Thank You for registering your child with us!

Please note that places are subject to availability. However, you can call us at +(65) 6781 2288 or email us at contact@patschoolohouse.com to check on the status of your registration.

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