Safari House Web Form

Note: Asterisk * denotes mandatory field.

Parent's First Name *
Parent's Last Name *
Mobile Number *
Email Address *
Child's Full Name *
Child's DOB/EDD *
Child's Gender *
Relationship to Child*
Preferred Start Date *
Preferred Campus *
Preferred Level
Preferred Session
Note: Visits slots are not applicable to ‘full’ centres. Slots are not real-time and will be confirmed via email only. Reach us at 68986888 / enquiries@safarihouse.com if urgent.
Preferred Visit Date
Preferred Visit Time
Remarks