Summer School 2023 @STEAM Lab
From June 12th > September 1st
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Applicant's Name (First Name, Last Name) *
Sex *
Date of Birth *
MM
/
DD
/
YYYY
Parent or Guardian's Name (First Name, Last Name) *
Home Address *
Contact E-mail Address *
Contact Phone Number *
Please choose the type of course you would like to attend: *
Please choose the session(s) you would like to attend: *
Required
Please indicate below if you would like to add the following Meal Services (optional):
Please indicate below if you would like to use our School Van Service? (¥1,500 per one-way trip)
*Please check both boxes if you would like Round-Way Van Services.
Desired Van Pick Up Location
Desired Van Drop Off Location
If you would like to order a T-shirt, please choose a size and color below (This is a requirement for new students)
*For Aqua, size 160 is not available
For Lime, size 120 is not available
Aqua
Lime
120
130
140
150
160
STEAM T-shirt Colors Available
Special Requests: If you would like to request an irregular schedule, or have any other requests please write them below:
Thank you!!!
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