5-13-39 Shirokanedai, Minato Ku, Tokyo 108-0071 (MAP)
〒108-0071 東京都港区白金台5-13-39

03-5421-4186 / 03-3446-3478
enquiries@kspacetokyo.org

Parent and Child Session Booking Form

 

Please complete all fields below.

 

Class Information- Child 1

Child 1 - Name (first name/family name)
Select Dates

September Sessions

  • Saturday 12th Sept
  • Saturday 19th Sept
  • Saturday 26th Sept

October Sessions

  • Saturday 3rd Oct
  • Saturday 10th Oct
  • Saturday 17th Oct
  • Saturday 24th Oct - Halloween Party

  • Saturday 31st Oct CLOSED
    *Kspace families please join us for Yoyogi Park Halloween Event for charity Contact for details.

Class Information- Child 2 (for families adding siblings)

Child 2 - Name (first name/family name)
Select Dates

September Sessions

  • Saturday 12th Sept
  • Saturday 19th Sept
  • Saturday 26th Sept

October Sessions

  • Saturday 3rd Oct
  • Saturday 10th Oct
  • Saturday 17th Oct
  • Saturday 24th Oct - Halloween Party

  • Saturday 31st Oct CLOSED
    *Kspace families please join us for Yoyogi Park Halloween Event for charity Contact for details.

Class Information- Child 3 (for families adding siblings)

Child 3 - Name (first name/family name)
Select Dates

September Sessions

  • Saturday 12th Sept
  • Saturday 19th Sept
  • Saturday 26th Sept

October Sessions

  • Saturday 3rd Oct
  • Saturday 10th Oct
  • Saturday 17th Oct
  • Saturday 24th Oct - Halloween Party

  • Saturday 31st Oct CLOSED
    *Kspace families please join us for Yoyogi Park Halloween Event for charity Contact for details.
Authorisation Area
This is an online class booking form. You might be asked to read general school policies and sign them separately.
Submission of this form means that you book the dates requested and your child should attend.
The Kspace office must be informed of any cancellation or changes 24 hours in advance.
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Parent/Guardian Online Signature

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

Type Name in full (first/ middle/family name) *
Date *:
Parent Email Address *:

Enter Given Code *: