Enrollment Form

Student Details

Full Name

Preferred or Familiar Name (if any)

Date of Birth

Age

Gender

Male Female

Venue

Online Studio

Home Address

Hobby

Favorite Music/ Song

Favorite Color

Current School

Is English your child's first language?

Does your child have any special health requirements or allergies? (for in studio students)

Describe areas you would like to see your child improve?

Describe your child's strength, talent and interest

Relationship (Parent 1)

Name (Parent 1)

Occupation (Parent 1)

Mobile Number (Parent 1)

Email Address (Parent 1)

Relationship (Parent 2)

Name (Parent 2)

Occupation (Parent 2)

Mobile Number (Parent 2)

Email Address (Parent 2)

How did you learn about Brainbow Kids ?

Name

Relationship

Mobile Number 1

Mobile Number 2

*This information is solely for the use of Brainbow Kids record purposes only