UIA Summer School 2024                                
Welcome to the UIA Summer School 2024! 
Please fill in the necessary information below. 
In the case of siblings, please fill this form out once per child.
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Email *
Student name *
In alphabet
Grade  *
Student Date of Birth  (mm/dd/yyyy) *
MM
/
DD
/
YYYY
Gender  *
Guardian Name  *
Relation to the child  *
Contact Address (Building Name, Street)　 *

Contact Address (City)　 *
Contact Address (Zip Code)　 *
Mobile Phone / Emergency Contact                                     *
Home Phone 
Can you receive messages via your mobile phone? (This may only be used in emergencies.) *
Which course would you like to apply for?  *
Courses have limited capacity. Please note that Summer School will take place from 9:00 to 14:00. 
Required
Would you like to use the aftercare service? (This service will be available from 14:00-17:00.) *
Is your child a student at UIA International School of Tokyo? *
Have you been to UIA International School of Tokyo Summer School before? *
How did you find out about our school? *
Is there anything else we should know about?　　　　　　　　　　　　　　　
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