Parent / Guardian Full Name (required)

Relationship to Child

Mobile Number (required)

Alternate Contact Number

Email Address (required)

Address

Child's Full Name (required)

Date of Birth (required)

Age

Gender
MaleFemalePrefer not to say

Previous School / Preschool (if any)

Preferred Branch (select one or more)
BishalnagarSamakhusiHattigauda

Program Interested In
—Please choose an option—PlayGroupNurseryEuro JuniorEuro SeniorOther

If Other, please specify

Preferred Admission Date

How did you hear about EuroKids Nepal?
Social MediaFriends / FamilyWebsiteVisit / Walk-inAdvertisementOther

Any special notes or requirements regarding your child

I agree that the information provided is accurate and I understand this is only an enquiry..