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

October Sessions

  • Saturday 10th Oct
  • Saturday 17th Oct
  • Saturday 24th Oct - Halloween Party 1 @¥4,000
  • Thursday 29th Oct - Halloween Party 2 (midweek launch party!) @¥4,000

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

November Sessions

  • Thursday 5th Nov
  • Saturday 7th Nov
  • Thursday 12th Nov
  • Saturday 14th Nov
  • Thursday 19th Nov
  • Saturday 21st Nov
  • Thursday 26th Nov
  • Saturday 28th Nov

Class Information- Child 2 (for families adding siblings)

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

October Sessions

  • Saturday 10th Oct
  • Saturday 17th Oct
  • Saturday 24th Oct - Halloween Party 1 @¥4,000
  • Thursday 29th Oct - Halloween Party 2 (midweek launch party!) @¥4,000

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

November Sessions

  • Thursday 5th Nov
  • Saturday 7th Nov
  • Thursday 12th Nov
  • Saturday 14th Nov
  • Thursday 19th Nov
  • Saturday 21st Nov
  • Thursday 26th Nov
  • Saturday 28th Nov

Class Information- Child 3 (for families adding siblings)

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

October Sessions

  • Saturday 10th Oct
  • Saturday 17th Oct
  • Saturday 24th Oct - Halloween Party 1 @¥4,000
  • Thursday 29th Oct - Halloween Party 2 (midweek launch party!) @¥4,000

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

November Sessions

  • Thursday 5th Nov
  • Saturday 7th Nov
  • Thursday 12th Nov
  • Saturday 14th Nov
  • Thursday 19th Nov
  • Saturday 21st Nov
  • Thursday 26th Nov
  • Saturday 28th Nov
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 *: