Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Child's name (based on NRIC) *Gender *MaleFemaleName of school *If your child is studying in Pathlight, please indicateCampus 1Campus 2Not applicablePlease indicate child's school grade *P1 FoundationP1 StandardP2OthersIf you indicate as others, please fill up his/her grade in the box belowIf othersTransport required?YesNoPlease fill in the address below if you select "Yes."Address Please provide your address if you need us to pick up and drop off your child.Child's interest at homeThis information will help us understand your child better including coming up with coping strategies and mechanism.Number of siblings *Child's date of birth (DDMMYY) *Any allergies we should be aware of?DiagnosisAny issues/feedback from school?Is there is anything else that you we should know about your child?Main contact person's name *FirstLastMain contact person's contact number *Main contact person's email *Relationship to child *FatherMotherOthersIf othersSecondary contact person's name *FirstLastSecondary contact person's contact number *Secondary contact person's email *Relationship to child *FatherMotherOthersIf othersI agree to the terms and conditions *YesClick here to view terms and conditionsSubmit