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Tadika Didik Genius
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Intake form
Help us serve you better
Name
*
Email address
*
Child's age
Select
2 years
3 years
4 years
5 years
Preferred session
Please select at least one option.
Morning
Afternoon
Previous educational experience
Please select at least one option.
None
Daycare
Preschool
Home Schooling
Specific learning needs or considerations
Emergency contact name
Emergency contact phone number
How did you hear about us?
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Friend/Family
Online Search
Social Media
Community Event
Additional comments or questions
Which service or services are you interested in?
Please select at least one option.
Early childhood education
Pre-School program
Kindergarten readiness
After School Care
Transit
Additional questions or comments
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