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Children's 60-minute on-line Private Lesson interest form
Child's First name
Child's Last name
Child's Birthday
Child's Gender
*
Female
Male
Non-binary
Parent's First name
Parent's Last name
Parent Email
Country Code
Parent Phone
Is the phone number above connected to WhatsApp?
*
Yes
No
Are you and your child currently in Penang?
*
Yes
No
I am in Penang but my child is not
My child is in Penang but I am not
Child's English Level
*
Beginner
Intermediate
Advanced
Which days of the week is your child available to study. Click all that apply.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What time of the day most suits your child for private lessons? Click all that apply.
Mornings
Afternoons After School
Evenings
When is your child 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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