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Request Information from KMIDS

Thank you for your interest in KMIDS.

Please fill out the form below and our Admissions Office will contact you as soon as possible.

 

กรุณากรอกแบบฟอร์มด้านล่างและฝ่ายรับสมัครนักเรียนของเราจะติดต่อคุณโดยเร็วที่สุด

 

 

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Salutation
  • Email Address *
  • Confirm Email Address *
  • Work Phone
  • Cell Phone *
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
  • Last Name *
  • Salutation
  • Email Address *
  • Confirm Email Address *
  • Work Phone
  • Cell Phone *
  • How Did You Hear About Us? *
    Details:

  • What is your LINE Account nickname?
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender
  • Email Address
    Confirm Email Address
  • Grade Level of Interest *
    School Year *
  • Current School
    Other:

  • Current School Name

  • What is the Student's nickname?

  • What kind of media do you use in daily life?
    *

  • Have you taken a KMIDS weekend short course or summer camp? 
    Yes   No
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •