S I M A K TRIAL REQUEST FORM

Child Name:

Gender

Date of Birth:

Parents Name:

Contact Number:

Email:

Address:

Info By:

Trial Package:

1.	Trial apply only one time
2.	Trial must be register and confirm by Kids Republic
3.	Make sure you are on time
4.	Changes in schedule is not allowed
5.	All rules & regulation following of term & condition Kids Republic should be signed :
	a.	Req. to enroll in Kids Republic education program
	b.	Max. 2 students per class
	c.	Bellow 2 years old must be accompanied by adult
	d.	Must come on time & until the class finish
	e.	Bring lunch box, mineral & (in any case) extra change of clothes
	f.	No photograph / video allowed during class time
	g.	Bring socks, if trial took place during gymnastic time