Please Attach a Photocopy of the Following: Child S BC / Both Parents Or Guardian NRIC

Precious Angels Playland INFANTS | TODDLERS |CHILDCARE Blk 83 Toa Payoh Lor 2 #01-451/453 Singapore 310083

Year: 2017/2018 e s U

Class  Infants (2mths – 17mths) l

o Baby Bonus Yes / No o (tick where  Toddlers (18mths – 23mths) h c S applicable)  Childcare (24mths - 6yrs )

n Child’s Name

o RELATIONSHIP FATHER MOTHER GUARDIAN i t (BLOCK Chinese Characters a

m NameLETTERS) r o f NRICGender Number M / F Race C / M / I / O Citizenship n I

s Colour of NRIC ’ Birth Certificate Place of Birth n n

a Citizenship i o

i Number Date of Birth d t r a a Address:Race Language Use English m u r G

o Religion / (Good / Fair / f Chinese s n t I

Occupation n Poor / Disable)

s Malay e ’ r d l a Office Number i

P Others h

C Mobile Number Other correspondence address (if any): Home Tel Number Email Address Fax Number Allergies Medical History Other Information

s Person to contact in case of emergencies e i c

n Name e g r Relationship e m

E Telephone Number e r

a Details of Alternative Care C

e Name v i t

a Relationship n r e t

l Telephone Number A

Fee Structures & Payment Mode

*2 months’ notice is required for the withdrawal of any programme after registration. t n

e *The centre reserved the rights, should a child display challenging behaviour and deem necessary to m

y discontinue the centre’s programme after both parties (centre-parents partnership) are aware of the a P

child’s behaviour. Such discontinuation denotes immediate termination. & * The deposit is non-transferrable. s e

e *We collect CASH, NETS or CHEQUE payment only. Baby bonus subjected to approval. F *Kindly write your child’s name, class and your contact number on the reverse side of the cheque * Cheques to be made payable to PRECIOUS ANGELS PLAYLAND. Official receipt will be issued. Please attach a photocopy of the following: Child’s BC / Both Parents or Guardian NRIC / Other relevant documentsChild’s Guardian NRIC /relevant BC Other Parents the attach (if following: or any)/ Both of aPlease photocopy okHandbo Official Use Declaration & Consent Others &Consent Declaration oftheother record programmeour for publicity commercialand advertisement. Precious * AngelsPlayland parents/guardianseeks permissionusetoany photographs, video-tapingand orvacation ill. *Precious Angels Playland right reserves reschedulethe to class the teacherif inthe charge is on *There noreplacementis ofclassif the childis absent. ______Parent’sSignature Date AngelsPrecious & Playland ECDA from school.Handbook the ______I, parent of ______, have received BB BB Bonus/ CashChequeNo.:______Receipt No.: ______DateofRegistration: ______Date of Admission:______*Feesinclusive enrichmentof one classonly. Childcare Toddlers Infants Date: Date: ______Signature: ______Relationship ______Child:to 4. 3. 2. 1. Services necessary necessary myfor treatment child. understand I measure that this taken is insure to school’sno delay in the to attempt get special any syndrome furtherneeds without demand. willabideI the to ofdiscontinuation request in thatmythe event beyondthechild is control of suffered immediatetreatmentgetto school’sshould the contact to me failed.attempts * I pertainingregulations to schooland the agreeabideto by them. ______,I, hereby declare havethat theIread rulesand agree/ disagree 24mths – 24mths– 6yrs 18mths– 23mths 2mths – 17mths AgeGroup that my childbetakenthat my HospitalKK to in ofathe event fallor aninjury $180 $180 $180 Registration Fee Registration $1400 $1600 $1900 Deposit $1400* $1600 $1900 Monthly FeeMonthly