Submission Date
-
Day
-
Month
Year
Date
Hour Minutes
First Name
*
Last Name
*
Email
*
example@example.com
Mobile Number:
*
Please enter a valid phone number.
Child's Name
*
Child’s Date of Birth
*
-
Day
-
Month
Year
Date
Interested Level
*
Please Select
P1
P2
P3
P4
P5
Interested Programme
*
Please Select
MindSpace After School Care
MindChamps Weekend Enrichment (P1 to P5)
MindChamps PSLE
Preferred Centre
*
Please Select
MindSpace @ Punggol
MindSpace @ Square 2
Preferred Date
*
Please Select
Saturday, 11 January 2025
Sunday, 12 January 2025
Preferred Date
*
Please Select
Saturday, 18 January 2025
Sunday, 19 January 2025
Time
*
Please Select
11:00 AM – 2:00 PM
Time
*
Please Select
11:00 AM – 2:00 PM
No. of Adults
*
Please Select
1
2
3
4
5
No. of Children
*
Please Select
1
2
3
4
5
Name of Education Advisor (if any)
Submit
Should be Empty: