Aozora Gakuen 2018–2019 School Year Waiting List Application
This form is for the children born between September 1 – December 31 2016
Email address *
Child's Information
Fist Name *
Your answer
Last Name *
Your answer
Birthday *
MM
/
DD
/
YYYY
Gender *
Parent Information
Your Name *
(First Last)
Your answer
Relationship to Child *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Full Address *
(Street address, Apartment number, City, State)
Your answer
Zip Code *
Your answer
Borough *
Attendance Schedule
Core Time Attendance (9:00am - 4:00pm) *
Please indicate the days you would like your child to attend
Extended Hours Option *
Please indicate desired extended hours if any
Required
Additional Information
Is your child exposed to Japanese on a daily basis? *
Is your child exposed to English on a daily basis? *
Any school or classes previously taken? *
Your answer
Special interest of the child
Your answer
What do you hope your child will gain from attending Aozora Gakuen?
Your answer
Is there anything additional we should know about your child?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms