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Children's 60-minute Semi-Private Lesson interest form
Child 1 First name
Child 1 Last name
Child 1 Birthday
Child 1 Gender
*
Female
Male
Non-binary
Child 2 First name
Child 2 Last name
Child 2 Birthday
Child 2 Gender
*
Female
Male
Non-binary
Child 3 First name
Child 3 Last name
Child 3 Birthday
Child 3 Gender
Female
Male
Non-binary
Child 4 First name
Child 4 Last name
Child 4 Birthday
Child 4 Gender
Female
Male
Non-binary
Contact Parent's First name
Contact Parent's Last name
Contact Parent Email
Country Code
Contact Parent Phone
Is the phone number above connected to WhatsApp?
*
Yes
No
Are all group members currently in Penang?
*
Yes
No
Where would the group like to have lessons?
*
At myTESOL
At a group member's home
Group's English Level
*
Beginner
Intermediate
Advanced
Which days of the week is the group available to study. Click all that apply.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What time of the day most suits the group for lessons? Click all that apply.
Mornings
Afternoons After School
Evenings
When is the group hoping to start studying English?
*
As soon as possible
Within 1 month
More than 1 month from now
Submit
Thanks for contacting myTESOL
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