Empathy School Summer Camp 2026 Registration Form

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We’re so excited to invite your children to join us for a joyful, meaningful, and adventure-filled camp experience.

Our Summer Camp runs from June 22, 2026 to July 31, 2026, and is available on a weekly basis (5 days per week), perfect for families looking for flexibility while giving their children a nurturing, play-based learning experience.

Email *

Child's Name *

Child's Nickname (Preferred Name)

Birth Date
*

YYYY

Gender *

Male

Female

Nationality *

Address in Bali (if available)

Student's Native Language/Mother Tongue
*

Student’s Current English Level *

None (cannot understand or speak English)

Beginner (basic understanding and speaking, may still be confused)

Intermediate (conversational, able to read and write)

Advanced (fluent in reading, writing, speaking, and listening)

Native speaker

Participant Category

Enrolled Student (currently enrolled at our school)

External Student (outside the school community)

Is the student currently following a special diet?
(If yes, please specify)

Does the student have any allergies?
(If yes, please specify)

Are there any significant medical conditions or health concerns that we should be aware of?
(If yes, please provide details)

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