Programs 2015 & 2016 - Registration

Awesome Kid's Club

Kid's Program Registration

Spring Semester 2016
Is this the first time registering with Awesome Kid's Club?*

YesNo

Re-enrollment start
Welcome back to Awesome Kid's Club! We're happy to have your child with us again this semester. Please remember to email or call us with any updates of your adresses or contact details in our register.

info@awesomekidsclub.com.cn
Child First Name:*
Child Family Name:*
Parent First Name:*
Parent Family Name:*
E-mail*
Phone number*
Clubhouse Membership?*

Yes, Member in The Summit Clubhouse, 99 Wulumuqi RdYes, Shanghai Town & Country CommunityNo Clubhouse membership
Membership Number:

First Time registering start
Welcome to Awesome Kid's Club! We're happy to have your child with us this semester. Since it's your first time with us we ask you to provide your adress and contact details aswell as a couple of additional (emergency) contact persons. Please remember to email or call us and inform if you need to update your adress or contact information in our register.

info@awesomekidsclub.com.cn

Welcome!
About Your Awesome Child:
Child First Name:*
Child Family Name:*
Child Age*
Birth Date*

MonthDayYear
Gender:*
Parent's Information
Parent First Name:*
Parent Family Name:*
Email Address:*
Home Phone Number:*
Mobile Number*
Home Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Where did you hear of Awesome Kid's Club?
Clubhouse Membership?*

Yes, Member in The Summit Clubhouse, 99 Wulumuqi RdYes, Shanghai Town & Country CommunityNo Clubhouse membership
Membership Number:
Additional (Emergency) Contacts:
2nd Parent Name:*

First NameLast Name
2nd Parent Phone Number:*
3rd Contact Name:*

First NameLast Name
3rd Contacts Phone Number:*
3rd Contacts Relationship to your family:

Payment starter
Method of Payment
I'd prefer to pay the fee by:*

Cash at Awesome Kid's Club office: Mon-Fri 10:00 - 18:00By Bank Transfer. Please send me email with bank account details.AliPay (ZhiFuBao)WeChat Transfer
Comments:

Submit
Submission
By clicking submit, you are confirming that all of the above information is correct and that you are aware of and agree to our Program Policy. We will contact you by email or phone when you have filled in this form for confirmation, information and payment notice.
Program Policy*

I have read and agree to the Program Policy (see link above)
Newsletter

Yes, Please send me program- and event updates from Awesome Kid's Club. (1-2 letter/month. Unsubscribe-link at bottom of each email)
Should be Empty:

Additional (Emergency) Contacts: