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Child's age *Please Select6 to 8 years old9 to 11 years old12 to 15 years old16 years old or above

How did you hear about us? *Please SelectGoogle YAHOO FacebookInstagramYouTubeWhatsAppInternational Schools Fair shemomOhpamaBaby KingdomMamidailyHK01NewspaperDoctorFriend Others

Which day(s) would you like to make an appointment for your child's $500 limited-time comprehensive eye exam and myopia control evaluation? (Multiple selections are allowed) *

• May 23 (Tuesday) - Full
• May 24 (Wednesday) - Full
• May 27 (Saturday) - Full
• May 28 (Sunday) - Full
• May 30 (Tuesday)
• May 31 (Wednesday)
• Jun 2 (Friday)
• Jun 3 (Saturday) - Full
• Jun 4 (Sunday) - Full
• Jun 5 (Monday)
• Jun 6 (Tuesday)
• Jun 7 (Wednesday)
• Jun 9 (Friday)
• Jun 10 (Saturday)
• Jun 11 (Sunday)

*After selecting the date(s), our staff will contact you to confirm the date and time.

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Other (you can fill in any questions about children's myopia in the following blank space)

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