Basic Information

Parent’s Name

Contact Information

Child’s Name

Child’s Age/Grade

Course Preferences

Type of Course You’d Like to Reserve
Math ThinkingCoding/ProgrammingOther

Preferred Date and Time for the Trial
Saturday MorningSaturday AfternoonSunday AfternoonWeekday EveningOther

Specific Learning Goals
Competition PreparationImprove Math/Programming SkillsOther

Learning Background

Child’s Current Learning Level
Beginner (no prior experience)Some FoundationAdvanced Level

Has the child attended similar courses before?
yesNo

Child’s Interests or Strengths

Contact & Confirmation

Preferred Method of Contact
PhoneEmailOther

Additional Notes

Do you agree to receive course-related updates from us?
I Agree