Free Consultation & Free Trial Class 2022 Application
Address: Unit 1215, 12/F, One Island South, 2 Heung Yip Road, Wong Chuk Hang
Contact us at 23688848 or admin@pacecenter.com.hk
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Email *
Contact Number *
Parent's Name *
Child's Name *
Child's Age *
Languages *
Required
Any Diagnosis *
Required
Main Concerns  *
Required
Services you are interested in (Check all that apply) *
Required
Availability for Free Consultation(Check all that apply) 
You may schedule a free consultation meeting on weekdays from 9am- 6pm. Each consultation lasts for 30-45 mins. Please let us know your availability for the next 2 weeks and we will arrange one for you as soon as possible. Thank you!
AM
PM
Monday
Tuesday
Wednesday
Thursday
Friday
Preferred Consultation Format *
Required
Free trial class on the same day? *
Each trial class lasts for 1 hour and an observation sharing with parents will be given after the class. You may have consultation meeting and trial class on the same day, or pick another day for the trial class if you prefer. 
Availability for Free Trial Class (Check all that apply) 
Please let us know your child's availability for the next 2 weeks and we will arrange a trial class for him/her. If you cannot decide now, you may choose TBC, we can discuss more during the meeting. Thank you!
AM
PM
Monday
Tuesday
Wednesday
Thursday
Friday
TBC
Special Notes
Please let us know any special information that you would like to share with us. 
Thank you, we will contact you shortly! 
A copy of your responses will be emailed to the address you provided.
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