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無料相談申し込み/Free consultation application
無料相談申し込み手順/Free consultation
Application Procedures
1.
お申し込み/
Application(
フォームへの記載、送信/
Fill in the form, submit)
2.日時確定/
Date and time confirmed(
メールによる返信/R
eply by e-mail)
お問い合わせ: sayako@kidsprouttherapytokyo.org
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* Indicates required question
Email
*
Your email
お名前/Your Name
*
Your answer
お電話番号/Your Phone number
*
Your answer
お子様のお名前と年齢/Your child's name and Age
*
Your answer
ご希望日/Preferred day
*
MM
/
DD
/
YYYY
ご希望時間/Preferred time
*
Time
:
AM
PM
ご相談内容/Details of consultation
*
Your answer
KidSprout Therapy Tokyoの無料カウンセリング参加に際し、下記内容について承諾いたします/
We accept the following informations when participating in KidSprout Therapy Tokyo's free counseling.
*
無料カウンセリングは、KidSprout Therapy Tokyoでの作業療法セッションを受けるにあたる疑問点などに関して相談をできる機会であることを理解している/I understand that free counseling is an opportunity to discuss the questions and other issues of attending the KidSprout Therapy Tokyo Occupational Therapy session.
Required
無料カウンセリングの提供時間は30分となります/Free counseling is available for 30 minutes.
*
Yes
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