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Program and Services
Contact us
About Us

Child Full Name*

Date of Birth*

Gender*

Male

Female

Address*

Allergies or Medical Condition*

Parents Name*

Relationship to Child*

Contact Number*

Email Address*

Emergency Contact

Emergency Contact*

I, As a parents of Children/s mentioned above, hereby certify that the information provided on this form is accurate and complete. I understand and agree to the terms and conditions of Taska Kasih Ilmu. *

Agree

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zul@taskakasihilmu.com

Operation hours

Monday - Friday

7:30 a.m. - 6:30 p.m.

Saturday - Sunday

Closed