Student Enrolment Form

Don't fill this out:

1 STUDENT INFORMATION

Full Name

Date of Birth

Age at Enrolment

School (optional) Programme

We assess your child’s experience and understanding to personalise their learning.

Prior AI / Coding Experience

This helps us place your child at the right starting point.

2 PARENT / GUARDIAN INFORMATION

Parent / Guardian Name Relationship to Student

Contact Number (WhatsApp)

Email Address

Home Address

3 EMERGENCY CONTACT

If different from the parent/guardian above.

Name

Relationship to Student

Contact Number

4 HEALTH & ADDITIONAL INFORMATION

Allergies Medical Conditions or Special Needs Anything Else We Should Know

5 SCHEDULE & HOW YOU FOUND US

Preferred Class Schedule How Did You Hear About Us?

We'll reply on WhatsApp to confirm your child's slot and schedule.
By submitting, you consent to NUSA using these details to process your child's enrolment and contact you about classes (PDPA). Data stays confidential and is never sold.

You're all set!