Summer Camp 2019 Application Form
Completion of this application does not guarantee admission to our Summer Camp. A member from Kyoto International School will contact you with deposit details and confirmation of placement.

*TIME*
9:00 am - 3:00 pm

First week: July 1-5
Second week: July 8 -12
Third week: July 16 -19 (please note the school will be closed on Monday July 15 for a national holiday)

*COST* (A minimum of two weeks attendance is required)
Current and former KIS students (including Saturday School students): ¥65,000/2 weeks, ¥90,000/3 weeks
Non-KIS Students: ¥75,000/2 weeks, ¥105,000/3 weeks

Email address *
Child's Name *
Please fill out one form per student
Your answer
Child's English Name (if he/she has one)
Please fill out one form per student
Your answer
Child's Level of English *
Please fill out one form per student
Child's Date of Birth *
MM
/
DD
/
YYYY
How old is your child as of July 1, 2019? *
Your answer
Child's Gender *
Your Name *
Your answer
Relationship with Child *
Contact Mobile Phone Number *
Your answer
Home Address *
Your answer
Emergency Contact Person *
Not mother or father
Your answer
Relationship with Emergency Contact Person *
Your answer
Emergency Contact Mobile Phone Number *
Your answer
Summer Camp Timeframe *
How long your child will stay at KIS Summer Camp? A minimum of two weeks attendance is required. Please choose your preferred weeks. **Please note that Group 1 (students who were born in 2014 & 2015) is now FULL: Group 2 (students who were born in 2013) , second week is now FULL: If you apply for these groups you will be placed on a waiting list:
Required
Allergies or Health Issues *
Your answer
Additional Notes
Your answer
Are you interested in an ordered lunch each day? *
Lunches will cost 380 yen (normal size) or 460 yen (big size) per day. Lunches will be a Japanese bento (meat & rice). This will be confirmed at a later date.
Please read the following statements.
By checking this box I agree to all of the conditions outlined above *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Kyoto International School. Report Abuse - Terms of Service