Summer School 2019 @Ivy Prep
STEAM SUMMER TECH ADVENTURE | From June 10th to August 30th
/children 18month and younger will be ONLY price setting (Extended Day Fee)/
*Days canceled will not be reimbursed once the seasonal school starts
Applicant's Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Parent or Guardian Name *
Your answer
Address *
Your answer
E-mail Contact *
Your answer
Phone Contact
Your answer
Please choose the session/s
WEEK 1
WEEK 2
Session 1 | June 10th-June 21nd
Session 2 | June 24th-July 5th
Session 3 | July 8th-July 19th
Session 4 | July 22nd - August 2nd
Session 5 | August 5th-August 16th
Session 6 | August 19th-August 30th
Please choose the type of session you would like to attend
Summer Uniform :
*T-SHIRT ¥2000

Please choose the color
Please choose the size
Quantity
Your answer
If you would like to add the following services (option):
*Morning/Afternoon Snack ¥100 each
*Lunch ¥600*
Would you like to use our School Van Service? (Monthly: One-way 20,000 yen, Round trip 30,000 yen | One way: 1,500 yen)
If you would prefer an irregular schedule of times or days please indicate below (Ex. Only Tuesday 6/26, Monday & Wednesday 9:00 am - 3:30 pm)
Your answer
Thank you!
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy