5-13-39 Shirokanedai, Minato Ku, Tokyo 108-0071 (MAP)
03-5421-4186 / 03-3446-3478
Kspace International School, 5-13-39 Shirokanedai, Minato Ku, Tokyo 108-0071, Japan
Signature (first/ middle/family name) *:
1. Media & Communication Release
I authorise Kspace to take and use any student works, photographs, video or sound recordings of my child and any other reproductions or adaptations of my child’s likeness, either in full or part, in conjunction with any wording or drawings. I understand this material may be used for advertising, promotion, media publicity, publication, display or internet usage of Kspace in whole or in part. I understand that I, or my child, do not have any interest in the copyright to the material nor shall we receive any payment.
2. Park and Off-Site Trip Consent
I give full permission for my child to be taken off the Kspace premises for roof and park play in their school group, if weather permits.
3. Code of Conduct
I understand any failure by my child/children to follow the Code of Conduct may result in his/her/their participation at the School being terminated, without refund. Kspace reserves the right to withdraw any student at any time. I understand that student attendance is only granted following receipt of all fees.
4. Terms and Conditions
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.
Completing this field acts in place of your handwritten signature, in agreement with the authorisations above and for booking application at Kspace International School.
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