Raffles American School
Camp Registration

Assigned Agent (Leave blank if none)

Grant Agent Access

Allow the assigned agent to access this registration.

Child Family Name

Child First Name

Child Western Name

Date of Birth

Age

Gender

Nationality

If Other, please specify

Passport Number

Copy of Passport

Please upload a clear copy of the passport (max 5MB).

Does the child have siblings?

A sibling discount is only applicable if you select ‘Yes’ and provide details now.

Sibling(s) Name (Separated by commas)

Is Child Vegetarian?

Is the child boarding?

Are there any special room or classroom requests?

Camp 1 — 2026-01-19 to 2026-01-30

Camp 2 — 2026-02-02 to 2026-02-13

Camp 3 — 2026-02-16 to 2026-02-27

Language Proficiency

Child's Address in Malaysia

Languages Spoken

Shirt Size

Behavioral Concerns?

Behavioral Concerns Description

Illnesses?

Illnesses Description

Allergies?

Allergies (select all that apply)

Learning Difficulties?

Learning Difficulties Description

Can the child swim?

Asthma?

Uses an Inhaler?

Hearing Issues?

Any Health Concerns?

Health Concerns Description

Medication Required?

Medication Description

If the child is feeling unwell, do you give permission for the camp nurse to administer medication?

Medication Not Allowed (if any)

Address in Home Country

Mother's Name

Mother's Email

Mother's Contact Number

Please add the country code, e.g. +60123456789

Mother's Passport Number

Mother's Preferred Chat App

Mother's Chat App Number

Father's Name

Father's Passport Number

Father's Email

Father's Contact Number

Please add the country code, e.g. +60123456789

Father's Preferred Chat App

Father's Chat App Number

Emergency Contact Name

Relationship

Emergency Contact Number

Are you interested in a tour of RAS and its facilities?

I agree to the terms and conditions.

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Terms and Conditions

By submitting this registration, you acknowledge that you have read, understood and agree to our consent form and privacy policy, and you provide your consent for the processing of your child's personal data for camp participation.

Raffles American SchoolCamp Registration

Raffles American School
Camp Registration