【Information Session / Free Trial Registration】LEADERS BOOTCAMP FALL TERM 2021


Thank you very much for your interest, we are incredibly excited to have you join our program.
Please fill in this form to complete registration for information session / free class experience!

[Information Session / Free Class Trial Details]
- Date/Time
#1) Sep 12th 9AM-10AM Japan Time
#2) Sep 19th 8PM-9PM Japan Time
- Format: Online (Zoom)
- The class trial will be part of the information session. The session will be conducted in English

[Program Details]
- Target: 9th-12th Graders
- Class Date: Every Wednesday from end of September 2021
(Sep 29, Oct 6, 13, 20, 27, Nov 10, 17, 24, Dec 1, 8, 15, 22)
- Time: 18:00-19:30 (BKK, Jakarta Time) / 19:00-20:30 (SG Time) / 20:00-21:30 (Japan Time)
- Class Method: Zoom/Online
- Language: All English
*Requirement of English proficiency for team discussion and presentation.
*Please feel free to reach out to understand the level required.
- Capacity: Around 15 Students
- Fee: JPY 55,000 Including tax, no additional fee
- Registration Deadline: Sep 22nd Wed, 23:00 Japan Time

If you have any questions, please feel free to reach out via contact information below:

To: Meg Takada
Email: megumi.takada1@gmail.com
Phone: +81-70-4194-2659
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Name of the Student *
Email Address *
It can be either of the one belonging to parents or students. Please be sure that you input the email address you check often, as we will be communicating details via email.
Phone Number *
This is for a back-up communication method, in case email does not work.
Name of Your School *
We also welcome gap year / homeschool students. If that is the case for you, please indicate so here!
Student's Grade (As of September 2021) *
If you you are below 9th, please mark other
If you chose "Other" for the grade question above, please indicate your grade here
Please pick date/time for the information session you would like to attend *
If you have any questions or concern, please feel free to use this space to let us know!
We will get back to you via email as soon as possible!
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