Please fill in the following form accurately.

Parent's Salutation:*
Parent’s First Name:*
Parent’s Last Name:
Mobile Number:*
Email Address:*
Child’s First Name:*
Child’s Last Name:*
Child's Gender:*
Child's Level:*
Child's School:*
Is Your Child Currently Enrolled in Our Weekly Classes?*
Course Suitability:*
Get Back To Me By:*
Has Your Child Learnt the Topic of Electricity in School?*
Students are required to have learnt the topic of Electricity prior to attending the masterclass.
Early Bird Notifcation List*
Preferred ECMC™ Session:*
ECMC™ Session - Waiting List (Optional):
If you'd like to place your child on the waiting list for our fully registered weekly runs, please select your preferred run(s). We'll update you if there's an available seat, however, please note that we are unable to guarantee if there will be a seat for your child at this point.
- Run 44: 19th & 26th April (Sunday) 4PM to 6PM by Ms. Jolie Goh (FULL/ Waiting List ONLY!)
- Run 45: 1st May (Friday) Labour Day 10AM to 12PM & 1PM to 3PM - Ms. Jolie Goh (FULL/ Waiting List ONLY)
Acknowledgement*
- My child has learnt the topic of Electricity previously.
  I will inform the Centre of my intention to withdraw my child from the course within 14 days of payment in order for the Centre to process a refund of the course fee (admin charge of $30 applies).
  I acknowledge that if the course is conducted within 14 days upon the payment of the course fee, there will be no fee refund under any circumstances.
  I will inform the Centre at least 14 days before the commencement of the course if I need to re-schedule the course.
  I acknowledge that there will be no fee refund or re-scheduling of the course after the notice period.
  I acknowledge that I will need to complete payment for the course by 10PM the next day, in order to secure a seat accordingly.
  I have read and agreed to the full Terms & Conditions of the Electrical Circuit Masterclass prior to completing the fee payment
Remarks (Optional):

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Your Registration

Electrical Circuit Masterclass

Total

$167.00

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