JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Spring School 2024 Registration Form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name of Person Filling Out Form
Your answer
Program Information
＊Drop off time 9:00 ~ 9:30 (Doors open at 9:00)
＊Pick up time 15:00 ~ 15:30
＊Extension will be available. (15:00 ~ 17:00)
Fee:
Week 1: ¥53,000(+tax)
Week 2: ¥61,000(+tax)
＊Extension Fee: ¥1,600(+tax)/ 60minutes
Student Information
Child's First Name
*
Your answer
Child's Middle Name
Your answer
Child's Last Name
*
Your answer
Date of Birth
*
Children who are 3 years old and toilet trained by April 1st, 2023 will attend the 3-4 year old class.
MM
/
DD
/
YYYY
I would like to enroll my child in the following weeks:
*
Week 1: March 18 - 22 (No School: March 20)
Week 2: March 25 - 29
Required
Nationality
*
Your answer
Home Address
*
Format Example: 1-3-12 Daizawa, Setagaya-ku, Tokyo
Your answer
Zip Code
*
Your answer
Main Phone Number
*
Your answer
Primary E-mail
*
We cannot accept the following e-mail providers: hotmail, msn, outlook
Your answer
Secondary E-mail Address
Your answer
Language(s) spoken at home:
*
Your answer
Child lives with:
*
1 Parent / Guardian
Both Parents / Guardians
Grandparent
Other
Required
Last/Current school attending:
*
Please write "none" if none.
Your answer
Allergies or Dietary Restrictions:
*
Please input "None" if your child has no allergies.
Your answer
My child carries an EPIPEN for severe reactions:
*
Yes
No
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
