Summer School Application Form for Preschool-Kindergarten-Primary Students
Dear parents,

Thank you for your interest in Horizon's Summer School Programme.

Please fill out the form below and submit it to apply for the Summer School. The application form has four parts;
Part 1: Student information
Part 2: School lunch
Part 3: School bus
Part 4: Student dismissal

Please contact the school office at admissions@horizon.ac.jp for any questions you may have.

Looking forward to having your child at Horizon Summer School.

HJIS

Student Information
Please enter information about your child.

If you are applying for more than 1 child, please apply separately.

Student Name *
First-Middle-Family Names of your child.
Gender *
Please select your child's gender from the list below.
Birth Date *
Please enter your child's date of birth.
MM
/
DD
/
YYYY
Nationality *
Please list ALL the nationalities your child holds.
Is your child currently enrolled at Horizon? *
School
Please enter your child's current school if it is different than Horizon!
Grade/Class *
Please select your child's current grade/class at their school.
Languages *
Please list the languages your child can communicate in, starting with the most competent.
Experience in English *
Indicate how many years of experience your child has in an English speaking environment. Please keep in mind that we will have native Japanese speakers to help students throughout the program but our main instructors are native English speakers.
Allergies and Restrictions *
Please enter the allergy and food restrictions your child has. Please select ``None`` if there is no allergies.
Required
Photo Upload
Optional; please upload your child's photo.
The Legal Guardian
Please enter the necessary legal guardian information below.
Name *
Please enter the name of the legal guardian making the official application.
Relationship *
Please enter the relationship between the child and the legal guardian.
Nationality of the Guardian *
Please list the nationalities the legal guardian holds.
Home Address *
Please enter the home address.
Phone Number
Please enter the legal guardian's landline phone number.
Mobile Phone Number *
Please type the mobile phone number of the child's guardian.
Email Address *
Please enter 1 email address you would like the summer school related emails to be sent to. Horizon parents should enter their Horizon email addresses.
Emergency Contact Name *
Emergency Contact Mobile Number *
In case you can't be reached for an emergency, this person will be contacted.
Application Information
Please enter the information regarding your application.
Tuition for Each Session – 55,000 JPY (Including Tax).
Summer School Sessions *
Please indicate whether you would like to enroll your child for EACH SESSION!
YES, Enroll my child!
NO, I don't want to enroll!
Session 1
Session 2
Session 3
Session 4
Photo/Video Release *
Please indicate which of the following you would like to authorize Horizon to use your child's photo/video.
Please click next to continue the registration.
Before you press the next button below, please make sure you have filled in the required fields marked with an * by their title.
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