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

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.

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 *: