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June 2021 Holiday Program registration
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* Indicates required question
Parent/Caregiver Name
*
Your answer
Email Address
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Your answer
Contact Number
*
Your answer
Student Name
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Your answer
Student Age
*
Choose
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Is student a current/past client of Connect & Communicate?
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Yes
No
Please select the Holiday Program you want to register for
*
Ages 3 -6 yrs: Walking in the Jungle (23-25 Jun) - $450
Ages 7-10 yrs: Mindcrafters (23-25 Jun) - $450
Required
How did you find out about the holiday program?
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Choose
Connect and Communicate Website
Facebook
Google search
Brochure/Flyer
Email from Connect and Communicate
From a staff of Connect and Communicate
From a friend
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Payment
Registration is confirmed upon receipt of payment. We will contact you regarding confirmation and payment options. If you do not hear from us within 5 working days please call us at (+65) 62547422 or email
info@c-c.sg
.
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