Midget Gems Kid's Club is a private, home based playgroup. All care will be taken to ensure the safety of your child; however, we are not responsible for any accident or injury that may occur whilst he/she is attending our playgroup.

I ____________________________ give consent for my child _____________________________

to attend Midget Gems Kid's Club. I enclose HKD ___________ being one month fee as deposit which will be in lieu of the last month to be attended plus one month advance payment.

The Deposit is Non Refundable.

 

Please make your cheque payable to: Midget Gems Kid's Club

 
 

Signed _________________________ Dated _________________

Please click here to view the form in pdf format for printing.