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Winter School 2023 @STEAM Lab
From December 18th to January 5th
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* Indicates required question
Applicant's Name (First Name, Last Name)
*
Your answer
Sex
*
Male
Female
Date of Birth
*
MM
/
DD
/
YYYY
Parent or Guardian's Name (First Name, Last Name)
*
Your answer
Home Address
*
Your answer
Contact E-mail Address
*
Your answer
Contact Phone Number
*
Your answer
Please choose the type of course you would like to attend:
*
Morning (Weekdays 8:30 a.m. - 2:00 p.m.)
Full Day (Weekdays 8:30 a.m. - 4:00 p.m.)
Extended Day (Weekdays 8:30 a.m. - 6:00 p.m.)
Please choose the week(s) you would like to attend:
*
Week 1 | Dec 18th to Dec 22nd
Week 2 | Dec 25th to Dec 29th
Week 3 | Jan 4th to Jan 5th
Required
Please indicate below if you would like to add the following Meal Services (optional):
Morning Snack (￥200 each day)
Lunch (￥600 each day)
Afternoon Snack (￥200 each day)
Please indicate below if you would like to use our School Van Service? (￥1,500 per one-way trip)
*Please check both boxes if you would like Round-Way Van Services.
Van Pick Up
Van Drop Off
Desired Van Pick Up Location
Your answer
Desired Van Drop Off Location
Your answer
If you would like to order a T-shirt, please choose a size and color below (
This is a
requirement for new students
)
*For Aqua, size 160 is not available
*
For Lime, size 120 is not available
Aqua
Lime
120
130
140
150
160
Aqua
Lime
120
130
140
150
160
STEAM T-shirt Colors Available
Special Requests: If you would like to request an irregular schedule, or have any other requests please write them below:
Your answer
Thank you!!!
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