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Little People Winter Camp(Age 1.5-3) application form
T.N.G Montessori Academy のWinter School にお申し込みいただきありがとうございます!
下記、必要事項のご記入をお願い致します。
対象年齢 Age : 1.5-3 years old
時間 Time:9:30-15:00
場所 Place:築地校 - 中央区築地6-15-6 Usquare 築地 3階 & 4階
Tsukiji Campus - 6-15-6 Tsukiji Chuo-ku Usquare 3th and 4th Floor
Tuition: TNG members ¥11,000 / Non-members ¥12,100 (includes tax)
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お子様はTNGのクラスを受講されていますか?TNG, TMA member or Non-member
TNG Montessori Academy のメンバーでない方は「入園前健康状態把握表」の提出を初日にお願いいたします。If you are not TNG Montessori Academy's member, please submit the "Health check before enrollment" on the first day.
TNG Montessori Academy
TNG Dance Academy
他園に通学中の場合はスクール名を下記にお願いします。Please write your child's school name below.
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お子様のお名前 (ローマ字) Child's Name (Last)(First)
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Your answer
お子様の性別 Gender
男 Male
女 Female
Other:
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お子様の生年月日 Child's Birth date
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MM
/
DD
/
YYYY
保護者のお名前(ローマ字) Guardian's Name
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Your answer
住所 Address
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Your answer
参加希望日 Dates you apply for Winter Day Camp
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12/19 Tue
12/20 Wed
12/21 Thu
12/22 Fri
Required
アレルギーの有無 Does your child have any allergies?
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アレルギーや体質に気になる点がある場合は必ずご連絡ください。
なし NO
あり YES
緊急連絡先1(お名前・お子様との関係・電話番号) Emergency contact 1 (Name, Relationship with the applicant, Phone number)
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Your answer
緊急連絡先2(お名前・お子様との関係・電話番号) Emergency contact 2 (Name, Relationship with the applicant, Phone number)
*
Your answer
緊急連絡先3(お名前・お子様との関係・電話番号) Emergency contact 3 (Name, Relationship with the applicant, Phone number)
Your answer
保護者の方以外が送迎される場合は必ず名前と写真の提出をお願い致します。If other than guardian will pick your child up please submit name and photo in advance.Untitled Title
当校はクラスの活動を写真や動画で記録し、またアプリを通してレッスン風景を保護者様にシェアをしております。SNS等での掲載はご遠慮いただくようお願いいたします。We use apps to share photographs and videos of class activities with parents. Please refrain from posting these photographs or videos on your social media accounts.Untitled Title
SNS Facebook・Instagramにクラスの様子を公開しています。お子様の公開に関して同意の確認をお願い致します。We post class photos and videos on Facebook and Instagram. Please let us know if you would not like your child to be on social media.
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SNSへの公開を同意する。I hereby allow my child’s face and likeness to be posted on the school’s social pages.
SNSへの公開を同意しない。I do not allow my child’s face and likeness to be posted on the school’s social pages.
その他、ご不明点・ご心配な点等ございましたらご連絡ください。If there is anything we can help you with, please do not hesitate to contact us.
info@tng-montessori.com
A copy of your responses will be emailed to the address you provided.
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