Winter School 2020 @Ivy Prep
Applicant's Name
Date of Birth
MM
/
DD
/
YYYY
Parent or Guardian Name
Address
E-mail Contact
Phone Contact
Please choose the type of session you would like to attend
Please choose the sessions you would like to attend
If you would like to add the following services (option) :
*Morning/Afternoon Snack ¥200 each *Lunch ¥600
Would you like to use our School Van Service? (One-way ¥1,500 / each)
Ivy prep t-shirt
Please choose the size and color
Royal red
Royal blue
Tropical pink
Turquoise
90
110
130
140
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Thank you!!!
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