Application for  2019 Fall Term  "Japanese for Teens"  
Location:        Edmonton Japanese Community Association (EJCA), 6750-88 Street, Edmonton AB
Date/ time:     Sept 18th - Nov 27th 2018 (No class on Sept 25)  10 Wednesdays
                        5:00 - 6:30 pm
Course fee:    $90
Textbook:      "Marugoto A1  Rikai" ($30) for L1-1 & L2-1
                        "Marugoto A2  Katsudou" ($30) for L3-1
Registration closing date: Friday September 6, 2019
Notification of acceptance: September 10, 2019
Further details will be available after your application is received.
If you have any questions, please contact us at lesson@ejca.org  
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Membership
 I am a valid 2019 EJCA member *
Membership is required in order to take any class at EJCA.
To become a member, go to: http://ejca.org/ejca-membership.html 
Student Information
Student's Last name, First name *
Student is in *
Student will take *
Guardian's Information
Guardian's Last name, First name         *
Guardian's Telephone Number             *
Guardian's Email Address *
Payment Method
There are two methods of payment.

1)  Pay online using PayPal. Click the link below and select the fee that applies to you. Then click the "Buy Now" button. You will be directed to a secure transaction page where you can use your personal PayPal account.
          http://ejca.org/schools.html

2) Bring or send a cheque payable to "Edmonton Japanese Community Association" to:
         EJCA (Edmonton Japanese Community Association)
         6750-88 street Edmonton,
         AB, T6E 5H6

Sorry but we do not accept E-transfers or credit cards.


Please let us know how you intend to pay *
I understand that I am required to register and pay the fee by September 6, 2019. *
Required
I give my permission for EJCA to post any photos taken in class of my child in the EJCA newsletter, "Moshi Moshi." and the website. *
Please describe any concerns regarding your child and that we should be aware of including any allergies and health conditions. *
Fees will be refunded if we are unable to accept your application because of over-enrolment or a class is cancelled due to an insufficient number of students. ( Levelー11;  Min 6, Max 15; Level-21; Min 6, Max 15; Level-31; Min 6, Max 15)
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