Special Request, Change of Schedule Form, Leave of Absence, & Single Commuter Notification

Special Request, Change of Schedule Form, Leave of Absence, & Single Commuter Notification
Please use this form for:
- Special Request
- Change of Status (class schedule or bus schedule)
- Leave of Absense
- Single Commuter Notification
Change of Status for class schedules has a ¥2000 processing fee.
Change of Status for bus schedules has a ¥5000 processing fee.
Leave of Absense fee is ¥3000 per term.

All request can take up to two weeks and class and bus schedule changes may not be possible. Processing fee's are non-refundable.

お手続き完了までに２週間程度要します。
Student Name　生徒氏名*
Parent Name*
Email address*
example@example.com
Current Class　現在の在籍クラス*

Pre-KindergartenK1K2K3AK (Afterschool Kindergarten)AE (Afterschool Elementary)Special Program (Summer/Spring/Winter)Other
Type of Request*

Special RequestClass Schedule Change (¥2000)Bus Schedule Change (¥5000)Leave of Absence NotificationSingle Commuter Notification
Please use this area to explain your special request or schedule change. Please include as many details as possible so that we can fully understand your request.
Expected Last Day / 休学前最終登校日*

MonthDayYear
Date
Expected First Day Back / 復学日*

MonthDayYear
Date
Please list the reasons for the leave of absence below.

休学理由をお書きください。

*There is a fee of ¥3000 if the leave of absence is for a whole term.

*1Term完全に休学した場合、休学費は1Termにつき¥3000円です
My Child can travel alone for the following situations, including getting on and off of the Joy School Bus:*

Going to Joy & Coming home from JoyGoing to Joy OnlyComing home from Joy Only
Single Commuter Rules

Students must be at least 6 years old (for After-Elementary students only).You must call the office if your child will be late and fill out the online absence form if they will be absent. If you do not inform us of this, we will begin calling you and all other emergency numbers provided after 15 minutes of their class start time.

年齢が６歳以上のアフターエレメンタリークラスの生徒に限って、本校の登下校を一人で通学する場合、これを許可するためこの申請書が必要となります。お子様の所在が確認できるように、欠席の場合はオンラインにて欠席届を必ずしてください。保護者からの連絡なく、クラス開始後15分経ってもお子様が到着していない場合は保護者、またはその他の全ての緊急連絡先の電話番号にご連絡いたします。
By Submitting this form I hereby allow my child to travel to and from school as listed above and understand the Single Commuter Rules listed above.*

Yes
Details:*
Date

YearMonthDay
Date
Sent
Sent Email
example@example.com
このフォームを送信した場合には、学校側がリクエストに対応できるか否かに関わらず、それぞれの内容に応じた金額の請求が発生し、それを支払わなければならないことに同意します。I understand that by submitting this form I will be invoiced for my Special Request and am required to pay regardless of the school’s ability to accommodate your submission.*

Yes, I understand.
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