Kyoto JC Culture School 2020 Application Form
Completion of this application form does not guarantee admission to this program. A member from Kyoto JC will contact you with registration fee and confirmation of placement.
by September 30th
Admission fee: ¥1,100
Program fee (for whole programs in 2020): ¥3,000
In total: ¥4,100
・1st program is held on October 18th from at the former Juraku school next to KIS.
・2nd program is held on December 6th from at the former Juraku school next to KIS.
・For both days the program is from 10:00 to 11:30 or 13:00 to 14:30.
Gr.1 ～ Gr.6
This program is organized by Kyoto JC (also known as JCI Kyoto)
and cooperated by Kyoto International School.
Please fill out one form per student
Kyoto International School
Child's Level of English
Child's Level of Japanese
Prefer not to say
First time to Join this program?
Yes, first time.
No, more than second time.
Child's Date of Birth
Child's Blood type
Allergies or Health Issues
Relationship with Child
Contact Mobile Phone Number
Emergency Contact Person
Not mother or father
Relationship with Emergency Contact Person
Emergency Contact Mobile Phone Number
Please read the following statements.
I understand that my child's place will be secured once I pay the registration fee of ¥12,400, and the fee is due May 8th
I understand that the admission fee and the program fee will not be refunded if I cancel.
I understand that the accommodation fee will not be refunded after July 31st.
I understand that the Information for the program next year will be sent.
I understand that program staff take pictures or movies of my child during the program and are used for reporting the program, and if I don't permit I will write down at additional Notes below.
By Checking this box I agree to all of the conditions above.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service