Parent's Name *Child's Name *Child's Date of Birth *Eg. 04 Feb 2014Handphone No. *Eg. 012-6638989Email *Comment or Message *MessageSubmit BrainFit® Malaysia Address : R3-R4, Village Shops@The Club, No.9, Persiaran Bukit Utama, Bandar Utama, 47800 Petaling Jaya, Selangor. Contact Number : +603-7710 0273 Handphone : +6012- 217 9921 Email : frena.tan@brainfit.com.my