Family Information
CHILD’S BASIC INFORMATION
Name of Child
Gender
Boy
Girl
Date of Birth
Select Date
What does your child prefer to be called?
FAMILY’S BASIC INFORMATION
Father Name
Mobile Phone
E-mail
Occupation
Mother Name
Mobile Phone
E-mail
Occupation
Child lives with
Emergency Contact
Emergency Contact Number
Brother
No Brother
Below 3 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
11 years
12 years
13 years
14 years
15 years
16 years
17 years
18 years
Above 18 years
Sister
No Sister
Below 3 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
11 years
12 years
13 years
14 years
15 years
16 years
17 years
18 years
Above 18 years
Language spoken at home
English
Chinese
Other Language
SCHOOL INFORMATION
Name of School
Grade