After School Childcare Program Form

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Please fill out the form and submit it if you would like to apply or withdraw from the After School Childcare Program. We will contact you after submitting the form for more details.
お申込み又は退会希望の場合はご記入申請下さい。お申込の場合ご申請後、ご利用可能かご連絡致します。

Email *

Student's Name 生徒氏名 *

Student ID (Please fill out ID number start with A) 生徒ID (Aも含めた生徒番号） *

Student's Grade　学年 *

Desired Start date/ Last Date *

YYYY

Would you like to join or withdraw from the program? *

Apply to this Program

Withdraw from this program

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