日本語教室保育の申込み票　Application for Japanese Class Childcare Service
Unless you receive an automagical confirmation by return, please check your mail address below again.
After your application duly received, we will contact you within a week for detailed)
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Email *
PUT YOUR MAIL ADDRESS ABOVE(@メールアドレス） FOR RECEIVING CONFIRAMATION
学習者の名前 / Your Name (FAMILY NAME　Given name） *
電話番号 / Tel Number *
出身国・地域 / Country or Region of Origin　 *
Required
対応言語 / Preferred Language *
子どもの名前 / Child Name *
子どもの生年月日 / Child Date of Birth *
MM
/
DD
/
YYYY
子どもの性別/Child Gender *
Required
希望曜日/ Prefered Day of the Week *
Required
A copy of your responses will be emailed to the address you provided.
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