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 November 18th
  • Wednesday November 22nd
  • Saturday November 25th

December Sessions

  • Saturday December 2nd
  • Saturday December 9th
  • Wednesday December 13th (Christmas Party, ¥4,000/no make-ups)

January Sessions

  • Wednesday January 10th
  • Saturday January 13th
  • Wednesday January 17th
  • Saturday January 20th
  • Wednesday January 24th
  • Saturday January 27th

Class Information- Child 2 (for families adding siblings)

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

November Sessions

  • Saturday November 18th
  • Wednesday November 22nd
  • Saturday November 25th

December Sessions

  • Saturday December 2nd
  • Saturday December 9th
  • Wednesday December 13th (Christmas Party, ¥4,000/no make-ups)

January Sessions

  • Wednesday January 10th
  • Saturday January 13th
  • Wednesday January 17th
  • Saturday January 20th
  • Wednesday January 24th
  • Saturday January 27th

Class Information- Child 3 (for families adding siblings)

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

November Sessions

  • Saturday November 18th
  • Wednesday November 22nd
  • Saturday November 25th

December Sessions

  • Saturday December 2nd
  • Saturday December 9th
  • Wednesday December 13th (Christmas Party, ¥4,000/no make-ups)

January Sessions

  • Wednesday January 10th
  • Saturday January 13th
  • Wednesday January 17th
  • Saturday January 20th
  • Wednesday January 24th
  • Saturday January 27th
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.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------
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 *: