Admission Form

Furtherance for Life

Register at Knox Ceylon Institute

Fill out our online form to register

Student's Name *

First

Last

Course/Program/Subject *

E.g. Astronomy for Kids

School *

Grade *

Date of Birth *

E.g. 04072012 (DMY)

Age *

E.g. 08

Gender *

Email *

Contact Number - Mobile *

Contact Number - Home *

Postal Address *

Name of Parent(s)/Guardian(s)/Family Member(s) *

First

Last

Relationship to Student *

Place of Employment

Does your child have any mild/moderate sensory impairment? *

E.g. Hearing loss, Visual loss

If "Yes", please list:

Does your child have a learning disability? *

If "Yes", please list:

How did you hear about us? *

Terms & Conditions *

I declare the information I have mentioned on this form is, to the best of my understanding and belief, complete and correct. *
I acknowledge that I have read and understood the below terms, conditions and procedures in its entirety and agree to abide by them. *

Terms & Conditions

All fees paid are strictly non-refundable and non-transferable.
There are no refunds for missed lessons, no-shows or if child is not willing to participate once classes start.
Make-up lessons will be offered if the lesson needs to be cancelled.

Have some questions?

We are here to help you. Contact us to learn more about Knox Ceylon Institute and our institute community.