JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Winter School 2021 @STEAM Lab
Sign in to Google
to save your progress.
Learn more
Applicant's Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Parent or Guardian Name
Your answer
Address
Your answer
E-mail Contact
Your answer
Phone Contact
Your answer
Please choose the type of session you would like to attend
Morning Session (M-F 8:30 a.m.-2:00 p.m.)
Full-day Session (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 week you would like to attend
Week 1: Dec 20th to Dec 24th
Week 2: Jan 4th to Jan 7th
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
Round-Way
No
Steam Lab Shirt (￥2000 + Tax)
Please choose a size
120
130
140
150
160
Clear selection
Choose a color
Turquoise
Lime
Clear selection
Comments
Your answer
Thank you!!!
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
