summer school 2020
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 (on passport) *
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 (Summer School PART 1 - July 13th to August 15th, 2020)

MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
July 13
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
July 14
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
July 15
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
July 16
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
July 17
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
JULY 18
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
 
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
July 20
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
July 21
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
July 22
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
July 23
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
July 24
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
JULY 25
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
 
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
July 27
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
July 28
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
July 29
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
July 30
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
July 31
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
AUG 01
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
 
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
Aug 03
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Aug 04
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Aug 05
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Aug 06
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Aug 07
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
AUG 8
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
Aug 10
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Aug 11
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Aug 12
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Aug 13
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Aug 14
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
AUG 15
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm

Booking Dates (Summer School PART 2 - August 19th st to August 29th, 2020)

MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
AUG 17
School Closed
AUG 18
School Closed
Aug 19
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Aug 20
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Aug 21
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
AUG 22
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
Aug 24
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Aug 25
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Aug 26
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Aug 27
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Aug 28
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
AUG 29
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
7.30am to 8.00am
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.

During Summer School all attending students are to complete this form.

Parents must download and read general school policies about booking and attendance below.

---------------------------------------------------------------------------------------------------------------------------------------------------------

Parent/Guardian Online Signature

Summer authorisations and policies can be read in full on this download.

I am the parent/guardian and the information I have provided is correct. I have read, understood and agree to all policies on the link above.

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.

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

Date *:

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