Registration Form

For new students (2023)

Particulars of Enrolling Child

Name of Child (as in Birth Certificate)

Child's D.O.B

Gender

Male

Female

Chinese Characters (if applicable)

Child's NRIC / FIN number

Citizenship

Address

Name of Primary School

When do you plan to begin your enrolment?

For Zhangde Primary School students ONLY - after school pick up service is available at $30 a month; would you require this service? (Kindly note that pick-up is only for regular ZDPS school dismissal time of 1:30pm.)

Yes

Not Applicable

Authorised Persons (OTHER THAN PARENTS / GUARDIANS) to pick child/ward up from Canopy Student Care (with contact number)

Particulars of Parents / Guardians

Name of Father / Guardian 1

Occupation

Citizenship

Contact Number

Name of Mother / Guardian 2

Occupation

Citizenship

Contact Number

Others

Does your child have any allergies, other health issues, or learning needs that you would like for Canopy to know of?

Is there anything else about your child that you would like Canopy to be aware of?

Terms & Conditions

Kindly read the terms & conditions stated below and indicate your response accordingly.

1. Upon enrollment, the following fees are payable:
a. One-time $50 registration fee
b. Deposit (equivalent to 1 month's fees - used to offset the last month of enrollment at Canopy)
c. Fees (for first full month + any pro-rated fees for current month)

2. By submitting all personal data listed on this form, you consent to Canopy Education collating, using, disclosing, and/or processing your personal data only for the purposes of your child's registration with Canopy Student Care. Your personal data will be kept in accordance with the PDPA and GDPR guidelines (if applicable).

I agree to the terms & conditions

Name of Parent / Guardian

Your Signature

Date

Thank you for submitting! We will get back to you at our soonest.