Testing inquiry

Genius Care

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Student Information

Student Name

First

Last

Gender*

Date of Birth*

Guardian Information

Guardian Name*

Guardian Phone Number*

How do you know us?*

Email address*

Guardian Relationship*

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Others

I hereby certify that the above information given are true and correct as to the best of my knowledge.
I am also understand and agree that my personal data will be stored, processed, and used under Family of GAINS Education Group Data Protection Policy.

Testing inquiry

Genius Care

Student Information

Guardian Information

Play With Your Child Because They Need You

Healthy Child Healthy Life

Taking Care of Your Baby