Online Event : "How to keep our eyes safe with the usage of electronic devices"

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Date & Day: 19 June 2021, Saturday
Suitable for parents and guardians with children ages 4 to 12

Email *

Name of Parent/ Guardian/ Educator *

Mobile number *

Location (please type country and state/ area) *

If you are from Selangor, please type 'Malaysia, Selangor'.

Age of Child/ Children in 2021 *

0 to 3

4 to 6

7 to 12

13 and above

Other:

Relationship to child/ children *

Father

Mother

Aunty or uncle

Grandparent

Caregiver/ babysitter/ guardian

Educator

Other:

Required

Is your learner(s) currently registered with us? *

Yes

How did you hear about us? *

If it is through Facebook, WhatsApp or Community groups, please state the name of the group. If it is an individual, please state your contact's name (and best with the phone number) so that we can thank him/ her for referring you to us :)

English Champ's Website

English Champ's Facebook

Facebook groups

WhatsApp groups

Community groups

BNI

Other:

Required

Please state below if you have any questions that you'd like to ask us about eyes and vision. *

Username in Zoom *

Please ensure the name stated here is the same as the Zoom username for admittance purposes.

A copy of your responses will be emailed to the address you provided.

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