Registration

Registration Form

Civil Status

You are*

Mr.Mrs.Miss


Name*


Child Information

Your child's first name*


Your child's last name*


Gender*

MaleFemale


Date of birth*


Caregiver Information

Name Father/Mother/Guardian 1*


Nationality Father/Mother/Guardian 1*


Phone Number Father/Mother/Guardian 1*


Email Father/Mother/Guardian 1*


Name Father/Mother/Guardian 2


Nationality Father/Mother/Guardian 2


Phone Number Father/Mother/Guardian 2


Email Father/Mother/Guardian 2


Helper's name


Helper's phone number


School

Please specify the expected first day at La Petite Ecole*


I would like to request the Early bird rate. I will settle the annual school fees (THB 228,000) before 30th June 2018*

YesNo


If your employer is going to settle the invoices sent by La Petite Ecole, please indicate the exact name and address of the company

Name of company


Address of company