Welcome to the Kspace!
Please complete the fields in this form in full.
Add ticks in the dates that you would like your child to attend.
One form must be completed per child.
Once we receive your completed form an invoice will be prepared and sent to you.
Your booking is secure when our Admissions Team has approved your child's application and payment has been received.
We will contact you when we receive your details.
All fields with an asterisk(*) are mandatory. This is not an enquiry form, it is for booking only. 

Kspace International School, 5-13-39 Shirokanedai, Minato Ku, Tokyo 108-0071, Japan
kspace@kspacetokyo.org     enquiries@kspacetokyo.org

General Information

1) Are you an enrolled Kspace member? * No   Yes
2) Has your child ever attended a Kspace Spring/Winter/Summer School? * No   Yes
a)If 'Yes' to the above, please give details of programme and the year
b)If you answered 'No' to the above, have you ever visited Kspace before? * No   Yes

Student's Information

Surname (family name) *
Forename (first name) *
Gender *
Date of birth (dd/mm/yyyy) *
Nationality (nationalities) *
1st Language *
Other Languages *
English Language Level* Complete Beginner   Beginner   Intermediate   Advanced / Fluent  
If your child has studied English before please tell us where/how:
My child will usually attend *:

Student's Medical Information

No
Yes (Please provide information)
Does your child have any physical challenges or limitations at all? * No Yes
Does your child have any cognitive, behavioural or social challenges or limitations at all? * No Yes
Does your child have any allergies at all? * No Yes
Has your child received all vaccinations recommended in Japan? No Yes
Does your child have any special diet (please list)? No Yes
Parent/Guardian Contact Information
Address in Japan
Please list the name of the primary English speaker in 'Parent A', if you have an English speaker in your family.
Parent A's Name (first name/family name) *
Relationship to Student *
Nationality *
Parent B's Name (first name/family name)
Relationship to Student
Nationality
Address *
 
Postcode *
Phone / landline
Mobile *
Email Address *
Note: Please do not provide mobile phone provider email address

 

How did you hear about us? :


Please add a tick mark ( ✔ ) in the boxes on the dates/courses/times that you would like your child to attend.

To give you an accurate invoice please complete fields for every date that you want to book.

Booking Dates

MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
Mar 19
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Mar 20
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Mar 21
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Mar 22
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Mar 23
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Mar 24
Regular Programme
9.00am to 2.00pm
After School
2.00pm to 3.00pm
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
 
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
Mar 26
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Mar 27
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Mar 28
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Mar 29
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Mar 30
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Mar 31
Regular Programme
9.00am to 2.00pm
After School
2.00pm to 3.00pm
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
 
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
Apr 02
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Apr 03
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Apr 04
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Apr 05
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Apr 06
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Apr 07
Regular Programme
9.00am to 2.00pm
After School
2.00pm to 3.00pm
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
 
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
Apr 09
SCHOOL CLOSED
Apr 10
SCHOOL CLOSED
Apr 11
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Apr 12
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Apr 13
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Apr 14
Regular Programme
9.00am to 2.00pm
After School
2.00pm to 3.00pm
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm

 

Authorisation Area

This is an online request for booking and not an enquiry form.

All applicants will be screened for eligibility and we may recommend a paid trial period to help us get to know your child.

In addition to the authorisations asked for below, parents will be asked to read general school policies about booking and to sign them separately. Enrollment is subject to students and families following our code of conduct and behaviour.

The data that you submit online will be treated and stored with absolute respect and confidentiality.

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Parent/Guardian Online Signature

I understand that in seasonal programmes that in good weather there may be times when my child is taken on the school rooftop for games (or for water play in summer). I give my permission for this.

I authorise Kspace to act appropriately in a medical or natural emergency, including taking my child to hospital or seeking further medical aid if necessary.

I understand that it is a mandatory requirement of enrollment for me/us (the student's parent, or both parents) to be contactable at all times, and to be prepared to return in an emergency situation.

I am the parent/guardian and all information above is correct.

Type Name in full (first/ middle/family name) *
Completing this field acts in place of your handwritten signature, in agreement with the authorisations above and for booking application at Kspace International School.

Date *:

Kspace International School, 5-13-39 Shirokanedai,
Minato Ku, Tokyo 108-0071, Japan
kspace@kspacetokyo.org     enquiries@kspacetokyo.org
Enter The Given Code *