Summer School 2023 Registration Form
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Email *
Program Information
Student Information
Child's First Name *
Child's Middle Name
Child's Last Name *
Date of Birth *
Please note that all children who will join the 3 year old and up program must born before 2020-03-31 and potty trained. Younger students will join the 18 month to 3 year old program.
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Nationality *
Home Address *
Format Example: 1-3-12 Daizawa, Setagaya-ku, Tokyo
Zip Code *
Main Phone Number *
Primary E-mail *
We cannot accept the following e-mail providers: hotmail, msn, outlook
Secondary E-mail Address
Language(s) spoken at home: *
Child lives with: *
Required
Last school attended: *
Please write "none" if none.
Allergies or Dietary Restrictions: *
Please input "None" if your child has no allergies.
Child's T-Shirt Size *
Please enroll my child for the weeks of: *
Required
Potty Training *
Please note that all children who will join the 3 year old and up program must born before 2020-03-31 and potty trained. Younger students will join the 18 month to 3 year old program.
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