CONTACT – Child’s Information Form May 9, 2020 samtajs@hotmail.com Leave a comment Child's Information FormKindly fill the form in capital letters.Please enable JavaScript in your browser to complete this form.Child's Name *FirstLastEmail *Category *Select any onePlaygroupNurseryLKG/Junior KindergartenUKG/Senior Kindergarten1st Grade2nd GradeDaycareAfter School ActivitiesTuitionOtherChild's Date of Birth (MM/DD/YYYY) *Father's NameMother's NamePhone NumberPostal AddressI require transportation for my ward *Select any oneYesNoMessageMessageSubmit If you face any issues submitting the form please email it to info@ekamkids.com.