Peter & Jane Online Customer Form

Parent Details

*Required fields

First Name *
Last Name *
Contact Number *
Email *
Relationship *
How Did You Hear About Us? *

We have updated our Privacy Policy to align with the Personal Data Protection Act. By providing us information, you give us permission to contact you on updates of our programmes and new centres. For more information, please visit our website or contact our Data Protection Officer at 65017500.

Child Details

Name *
Gender
Date of Birth / Expected Delivery Date *

Visit Details

Preferred Campus *
Preferred Start Date *
Programme
Remarks