Summer Camp Registration | Legacy Point Academy

SUMMER CAMP REGISTRATION FORM

For booking & registration, please submit camper details and schedule a video call with our school founders.
More details will be provided after the call.

Camper Full Legal Name *

Camper Preferred Name/Nickname

Camper Date of Birth (MM/DD/YYYY)

Camper Gender

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Camper Primary Language

Does camper need an interpreter?

Current Grade Level

Parent/Guardian 1 Full Name

Parent/Guardian 1 Relationship to Camper

Parent/Guardian 1 Email Address *

Parent/Guardian 1 Phone

Parent/Guardian 1 Alt Phone

Parent/Guardian 1 Full Name

Parent/Guardian 1 Relationship to Camper

Parent/Guardian 2 Email Address *

Parent/Guardian 2 Phone

Parent/Guardian 2 Alt Phone

Name

Does camper have any medical conditions/allergies we should know?

SUMMER CAMP REGISTRATION FORM

We'll contact you as soon as we can!

Camper Full Legal Name *

Camper Preferred Name/Nickname

Camper Date of Birth (MM/DD/YYYY)

Camper Gender

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Camper Primary Language

Does camper need an interpreter?

Current Grade Level

Parent/Guardian 1 Full Name

Parent/Guardian 1 Relationship to Camper

Parent/Guardian 1 Email Address *

Parent/Guardian 1 Phone

Parent/Guardian 1 Alt Phone

Parent/Guardian 1 Full Name

Parent/Guardian 1 Relationship to Camper

Parent/Guardian 2 Email Address *

Parent/Guardian 2 Phone

Parent/Guardian 2 Alt Phone

Name

Does camper have any medical conditions/allergies we should know?

For booking & registration, please submit camper details and schedule a video call with our school founders.
More details will be provided after the call.

You can give us a call at +6012 220 8077

Make an appointment to drop by for a visit!

Our Center Location

235, Kampung Bendang Baru, Kuah, 07000 Langkawi, Kedah

Follow Us On the Socials

Contact us

Leave us a note and we will get back to you for a free consultation

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SUMMER CAMP REGISTRATION FORM

For booking & registration, please submit camper details and schedule a video call with our school founders. More details will be provided after the call.

SUMMER CAMP REGISTRATION FORM

We'll contact you as soon as we can!

For booking & registration, please submit camper details and schedule a video call with our school founders. More details will be provided after the call.

You can give us a call at +6012 220 8077

Make an appointment to drop by for a visit!

Our Center Location

235, Kampung Bendang Baru, Kuah, 07000 Langkawi, Kedah

Follow Us On the Socials

Contact us

For booking & registration, please submit camper details and schedule a video call with our school founders.
More details will be provided after the call.

For booking & registration, please submit camper details and schedule a video call with our school founders.
More details will be provided after the call.