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Autumn School 2017 @Ivy Prep
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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.)
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Please choose the days you would like to attend
October 23rd (Monday)
October 24th (Tuesday)
October 25th (Wednesday)
October 26th (Thursday)
October 27th(Friday)
If you would like to add the following services (option)
*Morning/Afternoon Snack ￥100 each
*Lunch ￥600*
Morning Snack
Lunch
Afternoon Snack
Would you like to use our School Van Service? (Monthly: One-way 20,000 yen, Round trip 30,000 yen)
One-Way
Round-Way
No
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If you would prefer an irregular schedule and types of session, please indicate below (Ex. Monday 9:00 am - 3:30 pm, Thursday 8:00 am - 1:00 pm)
Your answer
Thank you!!!
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