2026-2027 student's interest form

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Email *

Student's First and Last Name　　 *

Student's Name (漢字) If applicable

Student's DOB *

YYYY

Student's age (As of April 2025) *

Which class are you interested in? *

On-line

In-person

weekday's JSL class

Weekday's Japanese speaker's class

Saturday morning class (for Japanese speakers)

Tutoring class

Required

Guardian's Name (1) *

Guardian's Cell phone number (1) *

Guardian's Email address (1) *

Home Phone number

Home address. (If different from billing address)

Name of the local school/ Pre school *

Please describe your child's Japanese skill levels.

(Ex:

1 She can write Hiragana/Katakana and basic daily conversation )

2. He is interested in Japanese anime and wants to learn Japanese. Brand new student etc...

Send me a copy of my responses.

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