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Online Registration with Genius R Us / Contest Page

ast25Mandatory

Name of Parent / Guardian:
  *
Name of Child (1):
  *
Date of Birth (1):
  *
Name of Child (2):
Date of Birth (2):
Name of Child (3):
Date of Birth (3):
Address:
  *
Postal Code:
  *
Contact (HP):
  *
Contact (H):
Contact (O):
Email Address:
  *
How did you get to know us?:
  *
What are the courses you would like to register?:
  *
Contest (Min. 30 words) / Workshop Details:
  *
No. of Adult(s):
No. of Children:
  *
Workshop venue:
  *
Have you been to Genius R Us?:
  *
Do you have any package with us?:
  *
1) A minimum of 6 participants per class is required for each of the abovementioned workshops to commence
2) Genius R Us reserves the right to reschedule/cancel any of workshop(s) due to unforeseen circumstances
3) All workshop fees are non-refundable but transferable
4) Confirmation of workshop seating(s) is/are upon receipt of payment
* Required field