Spring Camp 2022 Online Booking

Welcome. Please complete all fields - one booking form per child.
Add ticks in the dates you require.
NOTES:
• Full midweek attendance is required.
• Minimum block of 5 tickets must be bought.

Saturdays can also be added.
We will contact you about your date selection when we receive your booking. New students may be required to attend a paid trial beforehand.
This is not an enquiry form, it is for booking only. Click here for enquiry.

Kspace International School, 5-13-39 Shirokanedai, Minato Ku, Tokyo 108-0071, Japan

kspace@kspacetokyo.org     enquiries@kspacetokyo.org

Student's Information

Please confirm that you are an enrolled Kspace member? Yes   No
Has your child ever attended a Kspace seasonal camp before (spring/summer/winter)? No   Yes(Add comments)
 
Student's Surname (family name)
Student's Forename (first name)
Parent's Surname (family name)
Parent's Forename (first name)
Email Address *
Note: Please do not provide mobile phone provider email address
Gender
Age Group
Date of birth (dd/mm/yyyy)

Student's Medical/General Information

   
Does your child have any physical, academic or emotional challenges or limitations at all? No Yes
Does your child have asthma or epilepsy? No Yes
Is your child toilet trained? (If 'No', add comments) Yes No
If your child is a new student: What is their English level? Fluent   Advanced   Intermediate   Beginner
Does your child have any cognitive, behavioural or social challenges or limitations at all? No Yes
Does your child have any allergies at all? No Yes
Has your child received all vaccinations recommended in Japan? Yes No
Does your child have any special diet? (Please list) No Yes
Does your child take any medications? (Please list) No Yes
Please provide the name, address and telephone number of your child's medical centre/doctor

 

Authorisation Area

1. Media & Communication Release

1. Media & Communication Release

I authorise Kspace to take and use any student works, photographs, video or sound recordings of my child and any other reproductions or adaptations of my child’s likeness, either in full or part, in conjunction with any wording or drawings. I understand this material may be used for advertising, promotion, media publicity, publication, display or internet usage of Kspace in whole or in part. I understand that I, or my child, do not have any interest in the copyright to the material nor shall we receive any payment.

 

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I Agree I Do Not Agree

2. Medical Authorisation

2. Medical Authorisation

I give full permission for members of school staff to authorise medical treatment in an emergency for my child and also to administer minor first aid if needed. I understand that I must contact the School directly regarding admissions acceptance if my child has anaphylactic level or potentially life-threatening allergy or condition.

 

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Signature (first/ middle/family name) : 

3. Park and Off-Site Trip Consent

3. Park and Off-Site Trip Consent

I give full permission for my child to be taken off the Kspace premises for roof and park play in their school group, if staffing allows and weather and health restrictions permit.

 

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I Agree I Do Not Agree

4. Code of Conduct

4. Code of Conduct

I understand any failure by my child/children to follow the Code of Conduct may result in his/her/their participation at the School being terminated, without refund. Kspace reserves the right to withdraw any student at any time. I understand that student attendance is only granted following receipt of all fees.

 

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Signature (first/ middle/family name) : 

5. Terms and Conditions

5. Terms and Conditions

 

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Signature (first/ middle/family name) : 

Print Authorisations and Terms

Print Authorisations and Terms

 

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Booking & Attendance Area

 

Monday March 21st - School Closed

Attendance is in fixed 5 day blocks, Monday to Friday, unless there is a closure date in the week.

The minimum amount of days children can attend is 5 across Spring School.

Tickets not used in Spring School cannot be carried over to other times.

Times: Drop off and collection times may vary slightly to avoid congestion during the pandemic.

Please add a tick mark ( ✔ ) in the boxes on the dates/courses/times that you would like your child to attend.

Booking Dates

MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
Mar 14
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Mar 15
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Mar 16
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Mar 17
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Mar 18
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Mar 19
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
 
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
MAR 21
School Closed
Mar 22
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Mar 23
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Mar 24
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Mar 25
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Mar 26
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
 
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
Mar 28
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Mar 29
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Mar 30
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Mar 31
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Apr 01
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Apr 02
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
 
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
 
Apr 04
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Apr 05
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Apr 06
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Apr 07
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
Apr 08
Regular Programme
9.00am to 3.00pm
After School
3.00pm to 4.00pm
4.00pm to 5.00pm
Breakfast Club
8.00am to 9.00am
Extension Hrs
5.00pm to 6.00pm
6.00pm to 7.00pm
 


Completing this field acts in place of your handwritten signature, in agreement with the authorisations above and for booking application at Kspace International School.

Date :

Kspace International School, 5-13-39 Shirokanedai,
Minato Ku, Tokyo 108-0071, Japan
kspace@kspacetokyo.org     enquiries@kspacetokyo.org
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