Aozora Gakuen 2017–2018 School Year Waiting List Application
This form is only for the children born in 2013 to 2015
Email address
Child's Information
Fist Name
Your answer
Last Name
Your answer
Birth Year
Birthday
MM
/
DD
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
Is your child already on the waiting list?
Have you previously applied to the preschool program?
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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