Registration of Interest
Dear Parent,

Thank you for your interest in the lessons offered by Kainetik Learning Centre!

Please complete this short registration form and we will get in touch with you as soon as possible.

The more details you provide in this form, the better we may understand your child's current situation and the faster we can get on with helping your child to do better!

Your contact information will only be used by us to contact you. It will not be passed to any third party.

Follow us on Facebook at https://www.facebook.com/kainetikmath.

Kai Meng
Principal Coach
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Email *
Name of Parent *
Mobile Number *
Location / Postal Code *
Example 1: Kovan. Example 2: Kovan / 530208
Birth year of your child *
Example: 2009
Subject of Interest *
You may choose more than one of the following options.
Required
Available Days for Classroom Lessons *
Please let us know the days of the week that your child will be available to attend classroom lesson at Kovan. You may add timing details under the option "Other".
Required
Current Situation *
Please let us know the challenges that your child is facing currently and the concerns that you have.
Goals *
Please let us know how you would like us to help your child and what outcomes you would hope your child may achieve.
Would you like to learn to teach your child yourself too? *
Any Other Information (Optional)
You may include additional information, such as your child's CCA, hobbies, strengths, etc, as these may eventually help us to connect better with your child.
A copy of your responses will be emailed to the address you provided.
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