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

May Sessions

  • Saturday May 18th
  • Saturday May 25th

June Sessions

  • Saturday June 1st
  • Saturday June 8th
  • Saturday June 15th
  • Saturday June 22nd

Class Information- Child 2 (for families adding siblings)

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

May Sessions

  • Saturday May 18th
  • Saturday May 25th

June Sessions

  • Saturday June 1st
  • Saturday June 8th
  • Saturday June 15th
  • Saturday June 22nd

Class Information- Child 3 (for families adding siblings)

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

May Sessions

  • Saturday May 18th
  • Saturday May 25th

June Sessions

  • Saturday June 1st
  • Saturday June 8th
  • Saturday June 15th
  • Saturday June 22nd
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 *: