Formulir Pendaftaran Daycare Queen

FORMULIR

A. Data Anak

Nama lengkap anak *

Nama panggilan

Tempat lahir

Tanggal lahir *

Jenis kelamin *

Golongan darah

Anak ke-

Jumlah saudara

Alamat lengkap *

Sekolah/PAUD, jika ada

B. Data Orang Tua/Wali

Nama ayah

Pekerjaan ayah

Nama ibu *

Pekerjaan ibu

Nomor WhatsApp aktif *

Nama wali, jika ada

C. Pilihan Program

Program daycare *

Tanggal mulai *

Jam datang

Jam dijemput

Hari penitipan

Biaya pendaftaran Daycare Queen: Rp700.000. Pendaftaran dibayarkan satu kali. Untuk program per jam, biaya dihitung dari selisih jam datang dan jam dijemput serta dibulatkan ke atas per jam.

Metode pembayaran *

Biaya pendaftaran Rp700.000

Biaya program Rp0

Total pembayaran Rp700.000

D. Kesehatan dan Kebiasaan Anak

Alergi makanan, obat, atau kondisi tertentu

Riwayat penyakit atau kebutuhan khusus

Apakah anak menggunakan popok?

Apakah anak dapat makan sendiri?

Kebiasaan tidur, makanan kesukaan, atau hal yang perlu diketahui pengasuh

Cara menenangkan anak saat menangis

E. Kontak Darurat dan Penjemput

Nama kontak darurat *

Nomor kontak darurat *

Nama penjemput utama *

Hubungan dengan anak *

Nomor WhatsApp penjemput

F. Persetujuan

Izin dokumentasi untuk media sosial

Catatan tambahan

Setelah tombol ditekan, WhatsApp akan terbuka dengan data pendaftaran yang sudah terisi.

Bimbel Queen Singkawang tidak hanya menyediakan informasi seputar bimbel, tetapi juga informasi umum seputar kehidupan sehari-hari yang bisa diakses melalui link: shaqueena.com 😊

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