Kinder/Grade Registration

Kinder/Grade Registration
New/Returning Student*
Child Info
Full Name*

First NameLast Name
お名前*

名性
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Current School*
Current Grade
Parent/Guardian Info 1
Name*

First NameLast Name
Cell Phone*

Area CodePhone Number
Email*
Parent/Guardian Info 2
Name*

First NameLast Name
Cell Phone*

Area CodePhone Number
Email*
example@example.com
For New Students:
Why do you want your child to attend our center? (お子様を当校に入学させたいと思われた理由をお書きください）
Payment
Payment Breakdown:

{newreturningStudent}

Registration Fee ($45)
Total Fee*

Total Fee (all fees are non-refundable)*

USDTotal Cost

Payment Information

Should be Empty: