Champion Trial Experience Interest Form

Unlock your child's full potential with MindChamps!

Sign up for a trial experience class today and experience our award-winning educational programs.

Trial Class Requested on:*

Date

Are you serviced by an Education Advisor?*

YesNo

Name of Education Advisor

PARENT/GUARDIAN DETAILS

Parent/Guardian Name*

Handphone:*

Please enter a valid mobile phone number

Email Address:*

example@example.com

Relationship: *

CHILD DETAILS

Child's Name*

Gender:*

MaleFemale

Date of Birth:*

Date

Primary School:*

CHAMPION TRIAL EXPERIENCE DETAILS

Preferred Centre Location:*

Preferred Level (P1 to P5)*

Preferred Level (P1 to P6)

Preferred Subject*

Special Comments:

0/150

DATA PROTECTION

By clicking on the submit, I consent to the collection, use and disclosure of my personal information and the personal information of my child by MindChamps Holdings Pte Limited, its related corporations and the franchisees of its related corporations (individually and collectively “MindChamps Group”) for the purposes of (a) processing and responding to my enquiries; (b) providing services and sending you information on special events, promotions and offers; and (c) such other purposes as set out in section 2 of MindChamps’ Privacy Policy, which can be accessed at MindChamps’ Privacy Policy, in accordance with the Personal Data Protection Act 2012 and MindChamps’ Privacy Policy.

Please send me marketing and promotional material via the following channels, regardless of my registration with the Do-Not-Call registry (please tick) and I acknowledge that leaving any of the boxes below unticked is not a withdrawal of any consent which I may have given or previously given to MindChamps Group in respect of my personal data.

SMS or other phone number-based messagingTelephone call