【清澄白河校】変更届
月島校変更申し込みとなります。
毎月10日締め切り（１０日 ２３：５９送信記録まで）となります。


This is Application for the students who belong to Tsukishima School.
Please submit this form by the 10th at 23:59 of the previous month before the absence date. (Ex If you want to be absent from June, the dead line will be on May 10th.)

Kiyosumishirakawa 清澄白河校: 
Pacific Palace 1F・2F 3-11-6, Kiyosumi, Koto-Ku 135-0024 
Phone:03-5809-8726
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Email *
お子様の名前　Student's name *
保護者様の名前　Guardian's name *
電話番号　Phone number *
所属クラス　Student’s class *
現在所属しているクラスをご記入ください。
Required
変更開始日　Changing date from *
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