Spring School 2026 
Email *
Student's Full Name お子様の名前 *
Student's Date of Birth お子様の生年月日 *
MM
/
DD
/
YYYY
Student’s Age お子様の年齢 *
How would you describe your child’s English level? お子様の英語はどのレベルですか？ *
Which days will your child attend? どの日に出席される予定ですか？ *
Required
School Name 学校名
Grade 学年
Special Needs / Notes
Does your child have any allergies, dietary restrictions, or other needs we should know about? お子様にアレルギー、食事制限、または他に配慮すべき事項はありますか？
 *
Parent/Guardian Name(s) 保護者様のお名前 *
Phone Number 電話番号 *
Who is authorized to pick up your child? どなたがお子様のお迎えに来ることができますか？ *
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