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

November Sessions

  • Saturday Nov 2nd
  • Saturday Nov 9th
  • Saturday Nov 16th
  • Saturday Nov 23rd
  • Saturday Nov 30th

December Sessions

  • Saturday Dec 7th
  • Saturday Dec 14th
  • Saturday Dec 21st
    Christmas Party (non-refundable)

Class Information- Child 2 (for families adding siblings)

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

November Sessions

  • Saturday Nov 2nd
  • Saturday Nov 9th
  • Saturday Nov 16th
  • Saturday Nov 23rd
  • Saturday Nov 30th

December Sessions

  • Saturday Dec 7th
  • Saturday Dec 14th
  • Saturday Dec 21st
    Christmas Party (non-refundable)

Class Information- Child 3 (for families adding siblings)

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

November Sessions

  • Saturday Nov 2nd
  • Saturday Nov 9th
  • Saturday Nov 16th
  • Saturday Nov 23rd
  • Saturday Nov 30th

December Sessions

  • Saturday Dec 7th
  • Saturday Dec 14th
  • Saturday Dec 21st
    Christmas Party (non-refundable)
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 *: