Winter School 2020 @Ivy Prep
Applicant's Name
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Date of Birth
MM
/
DD
/
YYYY
Parent or Guardian Name
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Address
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E-mail Contact
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Phone Contact
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Please choose the type of session you would like to attend
Morning Session (M-F 8:30 a.m.-2:00 p.m.)
Full-day Session (M-F 8:30 a.m.-4:00 p.m.)
Extended Day (M-F 8:30 a.m.- 6:00 p.m.)
Please choose the sessions you would like to attend
Session 1: Dec 14th to Dec 18th
Session 2: Dec 21st to Dec 25th
Session 3: Jan 4th to Jan 8th
If you would like to add the following services (option) :
*Morning/Afternoon Snack ￥200 each *Lunch ￥600
Morning Snack
Lunch
Afternoon Snack
Would you like to use our School Van Service? (One-way ￥1,500 / each)
One-Way
Round-Way
No
Ivy prep t-shirt
Please choose the size and color
Royal red
Royal blue
Tropical pink
Turquoise
90
110
130
140
Royal red
Royal blue
Tropical pink
Turquoise
90
110
130
140
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Thank you!!!
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