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: *
Please choose the week(s) you would like to attend: *
Required
Please indicate below if you would like to add the following Meal Services (Morning/Afternoon snacks ¥200 each, Lunch ¥600 each).
Please indicate below if you would like to use our School Van Service (¥1,500 per one-way trip, discounted monthly rate is also available).
*Please check both boxes if you would like Round-Way Van Service. **If you are already taking our monthly van service as a regular student, there will be no additional fee.
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 arequirement for new students)
*For Green, only size 110 is available.
Royal red
Royal blue
Tropical pink
Turquoise
Green
90
110
130
140
Royal red
Royal blue
Tropical pink
Turquoise
Green
90
110
130
140
Ivy T-shirt Colors Available
Special Requests: If you would like to request an irregular schedule, or have any other requests please write them below: