Winter School 2022-23 @Ivy Prep

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Applicant's Name *

Date of Birth *

YYYY

Gender *

Male

Female

Parent or Guardian Name *

Address *

E-mail Contact *

Phone Contact *

Please choose the program you would like to attend *

Morning (M-F 8:30 a.m.-2:00 p.m.)

Full-day (M-F 8:30 a.m.-4:00 p.m.)

Extended Day (M-F 8:30 a.m.- 6:00 p.m.)

Please choose the weekly sessions you would like to attend *

Session 1 | Dec 19th to Dec 23rd

Session 2 | Dec 26th to Dec 28th

Session 3 | Jan 04th to Jan 06th

Required

If you would like to add the following services (option) :

*Morning/Afternoon Snack: ￥200 each | Lunch: ￥600

Morning Snack

Lunch

Afternoon Snack

Would you like to use our School Van Service? (One-way ￥1,500 / each) *

One-Way (Pick up)

One-way (Drop off)

Round-Way

Ivy T-shirt

Please choose a size and color for your T-shirt

Royal red

Royal blue

Tropical pink

Turquoise

Green

110

130

140

Comments or Special Requests (irregular schedules , etc).

Thank you!!!

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