Summer School 2023 @Ivy Prep
From June 12th - September 1st
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Applicant's Name (First Name, Last Name) *
Date of Birth *
MM
/
DD
/
YYYY
Sex *
Parent or Guardian's Name (First Name, Last Name) *
Home Address *
Contact E-mail Address *
Contact Phone Number *
Please choose the type of course you would like to attend: *
Please choose the session(s) you would like to attend:
Week 1
Week 2
Session 1 (Jun 12 - Jun 23)
Session 2 (Jun 26 - Jul 07)
Session 3 (Jul 10 - Jul 21)
Session 4 (Jul 24 - Aug 04)
Session 5 (Aug 07 - Aug 18)
Session 6 (Aug 21 - Sep 01)
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)
*Please check both boxes if you would like Round-Way Van Service.
Desired Van Pick Up Location
Desired Van Drop Off Location
If you would like to order a T-shirt, please choose a size and color below (This is a requirement for new students)
*For Green, only size 110 is available
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:
Thank you!!!
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