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MERAK 2023
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After School Programmes
The September 2022 After School Programmes Admission is now open
Child's full name
Date of Birth
Currently Attending
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Primary caregiver
Occupation (Primary caregiver)
Phone
Primary email
Address
Relationship to chilld
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Secondary caregiver
Occupation (Secondary contact)
Phone
Secondary email
Address (if different from above)
Relationship to chilld
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Current problems with the child
What would you (Parent / Caregiver) like to improve in the child
Child's current diagnoses
Preferred medium of instruction
English
Sinhala
Tamil
Current medication(s) (if any)
Allergies
I have truthfully answered all the required feilds
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