Parent's Name *

Phone *

Email *

Please provide Gmail, Yahoo, Hotmail etc (no cellphone provider emails e.g. @i.softbank)

Have you ever visited Kspace before? * No   Yes , *If you answered 'Yes' to the question above please tell us why/when

Address * (Full address for hard copy brochure only. Otherwise, state area e.g. 'Hiroo' or 'Overseas' etc.)

Child’s Name *

Child’s D.O.B * (dd/mm/yyyy) dd 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 M Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec yyyy 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024

Gender * Girl Boy

Child's English level * (Please Complete)

• Native
• Fluent
• Conversational
• Beginner
• None

For your first school tour, please tick one class from below which you would most like to visit: *

Child-Only Programmes

• International Preschool & Kindergarten (Monday – Friday tours)
• Saturday School
• Seasonal School (Summer & Winter School)

Child Only After School Classes

• After School Class/classes - It helps us if you can tell us which ones you are enquiring about:
• Private Academic Tuition - Please tell us what subject you are interested in:
• Private Music Tuition - Please tell us what instrument you are interested in (choice of guitar, piano, drums, flute and violin):

Parent & Child

• Parent & Child Classes
• Saturday Family Parent & Child Circle Time

Tour Date:
Health Note: We may require further information due to COVID-19 precautions. We will contact you once you send this form to us.
Please tell us below a general date/day/time that suits your schedule.
*Kindly note:
We are not open on Sundays

Comments: If you are interested in more classes than the one you have selected above please let us know which ones in the box below. Due to our schedule tours are usually for one programme at a time. Also, if you are enquiring about more than one child please add their full details (name/DOB/classes) in the message text below.

How did you hear about us? Internet A friend Kspace advertising/poster TPG or TMG

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