Student's Name:
Student's Nationality:
Student's Date of birth:
Parent's name:
Parent's phone:
Trial Day Date:

What is your child estimated English level?
-- Choose level --BeginnerElementaryInternediateAdvanced or Native English

What is your choice of additional language?
-- Choose language --VietnameseMandarinEnglishFrench

Does your child have any learning support requirements the school needs to be aware of?
-- Choose support type --NoYes

Does your child have any food allergies?