Join Us

How To Apply?

Step 1
Fill in the online form below and receive a confirmation email; OR

Request for a registration form at any of the hospitals, fill in the details, submit to the Customer Care personnel and receive a temporary card
Step 2
Visit the hospital and show us the confirmation email / temporary card together with your child’s birth certificate or IC

* RM20 registration fee applies, if the child is neither a sibling of a Columbia Kids Club (CKC) member nor born at Columbia Asia hospitals. Sibling of CKC member is entitled to 50% discount of registration fee.
Step 3
Collect the Permanent Card and ONE (1) Zoey Plush toy
Step 4
Enjoy the privileges as a CKC member

Register Now

Columbia Kids Club (CKC) Member

Fill in and submit the form and be part of the club!
Child's Name (as per IC/Passport)*
Child’s MRN
* All children born in Columbia Asia hospitals, CKC membership is given free of charge.
Child’s IC/Passport Number*
Child’s D.O.B*
Child's Gender*
Parent’s Name (as per IC/Passport)*
Parent’s IC/Passport Number*
Parent’s Contact No.*
Address*
Father’s Email*
Mother’s Email
Hospital*
Submit

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