Winter School 2019 @STEAM Lab
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Applicant's Name
Date of Birth
MM
/
DD
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YYYY
Parent or Guardian Name
Address
E-mail Contact
Phone Contact
Please choose the type of session you would like to attend
Please choose the sessions you would like to attend
If you would like to add the following services (option) :
*Morning/Afternoon Snack ¥100 each                                                                                                                                                    *Lunch ¥600
Would you like to use our School Van Service? (One-way ¥1,500 / each)
If you would prefer an irregular schedule and types of session, please indicate below
STEAM Lab Shirt
Please choose the size Shirt :
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Thank you!!!
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