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.

*Application due*
by September 30th

*Cost*
Admission fee: ¥1,100
Program fee (for whole programs in 2020): ¥3,000
In total: ¥4,100

*Schedule*
・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.

*Age*
Gr.1 ~ Gr.6

*Organization*
This program is organized by Kyoto JC (also known as JCI Kyoto)
and cooperated by Kyoto International School.
Email address *
Child's Name *
Please fill out one form per student
School *
Child's Level of English *
Child's Level of Japanese *
Child's Gender *
First time to Join this program? *
Child's Date of Birth *
Child's Grade *
Child's Blood type *
Allergies or Health Issues *
Your Name *
Relationship with Child *
Home Address *
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.
Additional Notes
By Checking this box I agree to all of the conditions above. *
Required
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