【Registration】LEADERS BOOTCAMP FALL TERM 2021

Hello!

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.

[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
Sign in to Google to save your progress. Learn more
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
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!
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy