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Student Information
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Primary Contact's Information
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Secondary Contact's Information
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Medical Information
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Students's Education Information
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Language
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Release
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Parent Communication Photo Release
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Payment Agreement
Welcome to Growing Little Minds (GLM)! All parents of new applicants are required to complete the following informational documents prior to the student's first scheduled session. Thank you!
STUDENT INFORMATION
Name of Student
Date of Birth
DD
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MM
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YYYY
Current School
Please indicate which class session is your first choice (we cannot guarantee placement):
Mondays, 4:30-5:30 pm (3-4 year olds)
Tuesdays, 4:00-5:00 pm (2-3 year olds)
Saturdays, 9:00-10:00 am (4.5-6 year olds)
Saturdays, 11:30 am - 12:30 pm (3.5-4.5 year olds)
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Student Information
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Primary Contact's Information
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Secondary Contact's Information
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Medical Information
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Students's Education Information
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Language
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Release
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Parent Communication Photo Release
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Payment Agreement
PRIMARY CONTACT INFORMATION
Primary Contact's Name
Relationship to Student
Occupation
Employer
Primary Phone Number
Secondary Phone Number
Home
Mobile
Work
Home
Home
Mobile
Work
Home
Address
Please select Region
Hong Kong Island
Kowloon
New Territories
Outlying Islands
Please select Region
Email
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Student Information
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Primary Contact's Information
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Secondary Contact's Information
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Medical Information
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Students's Education Information
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Language
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Release
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Parent Communication Photo Release
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Payment Agreement
SECONDARY CONTACT INFORMATION
Secondary Contact's Name
Relationship to Student
Occupation
Employer
Primary Phone Number
Home
Mobile
Work
Home
Secondary Phone Number
Home
Mobile
Work
Home
Email
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Student Information
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Secondary Contact's Information
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Medical Information
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Students's Education Information
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Language
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Release
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Parent Communication Photo Release
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Payment Agreement
MEDICAL INFORMATION
Allergies and Medications
Known Physical, Mental, or Emotional Challenges
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Secondary Contact's Information
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Medical Information
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Students's Education Information
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Release
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Parent Communication Photo Release
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Payment Agreement
STUDENT'S EDUCATION INFORMATION
Are you applying to a private or international school in the Fall of 2024?
Yes
No
Undecided
If so, list the top 3 schools applying for:
Please list any extra-curricular or enrichment programs your child has received.
If provided, would you like to get tips about activities or extra practice you could do at home?
yes
no
Do you consider your child to be any of the following (check all that apply):
energetic
outgoing
shy
apprehensive
unsure in new situations
Can you tell us a little more about your child?
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Student Information
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Primary Contact's Information
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Secondary Contact's Information
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Medical Information
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Students's Education Information
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Language
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Release
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Parent Communication Photo Release
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Payment Agreement
LANGUAGE
Is your child living in a bilingual household?
yes
no
If so, which languages?
Is your child's first language English?
yes
no
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Students's Education Information
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Release
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Parent Communication Photo Release
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Payment Agreement
Growing Little Minds takes the safety of your child seriously. For this reason, we have adopted a policy requiring a parent or legal guardian to be on site at all time with his/her child.
RELEASE
I,
(Print name of Parent/Guardian)
, parent/legal guardian of
(Print name of child)
understand that Growing IQ Hong Kong Ltd., dba Growing Little Minds (GLM) requires a parent/legal guardian to be on Growing IQ Hong Kong Ltd. at all times when my child is in class. Not withstanding the foregoing, in the event I leave Growing IQ Hong Kong Ltd., premises, as consideration for my child being allowed to participate in Growing IQ Hong Kong Ltd., I agree to the following:I am voluntarily leaving my child at Growing IQ Hong Kong Ltd. I understand and agree that I will not hold Growing IQ Hong Kong Ltd., responsible for the safety and well-being on my child during my absence. I expressively waive any claims against Growing IQ Hong Kong and release Growing IQ Hong Kong Ltd., (including, but not limited to its officers, directors, members, managers, employees, contractors, and representatives) from any claims that I may have in any way connected to the care, safety, and well-being of my child while I am off Growing IQ Hong Kong Ltd. premises.
Parent or Legal Guardian Signature
Clear
Date
DD
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MM
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YYYY
Emergency Contact Phone Number
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Primary Contact's Information
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Secondary Contact's Information
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Medical Information
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Students's Education Information
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Language
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Release
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Parent Communication Photo Release
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Payment Agreement
PARENT COMMUNICATION PHOTO RELEASE
I, the parent or legal guardian of said student, hereby consent and agree for Growing IQ Hong Kong Ltd., its employees and/or agents, the right to take photographs, video, or digital recordings for my child for use in class updates (daily learning targets) sent to enrolled parents. Digital recordings and photographs will be used exclusively for the sole purpose of the program, and I further consent that my child's name(s) and identity may be revealed therein by descriptive text or commentary. Growing IQ Hong Kong Ltd., its agents, and employees will seek to receive my consent when exhibiting this work publicly in print and electronic form to market the program.
Parent or Legal Guardian's Signature
Clear
Date
DD
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Participating Child/Children
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Secondary Contact's Information
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Medical Information
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Students's Education Information
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Release
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Parent Communication Photo Release
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Payment Agreement
Tuition: 2400 HKD / month (4 classes prorated accordingly)
I, the parent and/or guardian agree to pay Growing IQ – Hong Kong Ltd.. dab Growing Little Minds (GLM), at the beginning of each month for the scheduled classes for that month. I understand that standard tax rates apply. I hereby give GIQ HK staff permission to enter my billing information, on my behalf, into our billing system and understand that I will receive email and/or other confirmations (s) and/or invoice (s) of scheduled payments and/or charges.
Names as it appears on your card
Type of Card
Visa
MasterCard
American Express
Discover
Billing Address
Please select Region
Hong Kong Island
Kowloon
New Territories
Outlying Islands
Please select Region
Card Number
Expiration Date
DD
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MM
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YYYY
CVC Code
Verification
Apply
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