Winter School 2019 @STEAM Lab
Applicant's Name
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Date of Birth
MM
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DD
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YYYY
Parent or Guardian Name
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Address
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E-mail Contact
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Phone Contact
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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
Your answer
STEAM Lab Shirt
Please choose the size Shirt :
Thank you!!!
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