KSPACE SUMMER SCHOOL 2027

BOOKING FORM FOR OVERSEAS RESIDENTS

General Information
1) Are you an enrolled Kspace member?	No   Yes
2) Has your child ever attended a Kspace Spring/Winter/Summer School?	No   Yes
3) Have you ever visited Kspace before?	No   Yes

Student's Information
Surname (family name)
Forename (first name)
Other Names
Gender	Girl Boy
Date of birth (DD/MM/YY) for example born 25/Oct/2019	dd 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 M Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec yyyy 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 Please select date of birth
Nationality/Nationalities (on passport)
Child's Passport Number
1st Language
Other Languages
English Language Level	Complete Beginner   Beginner   Intermediate   Advanced / Fluent
If your child has studied English before please tell us where/how:

Student's Medical Information	No	Yes (Please provide information)
Does your child have any physical challenges or limitations at all?	No	Yes
Does your child have any cognitive, behavioural or social challenges or limitations at all?	No	Yes
Does your child suffer from hayfever and do they ever take drugs for hayfever?	No	Yes
Does your child have asthma, and if so do they need an inhaler?	No	Yes
Does your child have any allergies? (state the allergy and if your child requires an Epi-Pen)	No	Yes
Does your child have any special diet (please list)?	No	Yes
Has your child received all vaccinations recommended in Japan? Note: Students must be vaccinated.	No	Yes

Parent/Guardian Contact Information	Address in Japan
Mother's Name (first name/family name)
Nationality
Father's Name (first name/family name)
Nationality
Permanent Address
Postcode
Fixed address in Japan once you have arrived Note: Parents who cannot provide this at time of the booking must send it to us before the attendance days, as a mandatory requirement.
Regular/international Telephone Number
Mobile
Telephone number in Japan Note: We prefer that this is a Japanese domestic/mobile phone number for the purpose of emergency/evacuation etc.
Please state parents reasons for entry into Japan (business/travel/adult study)
Address in Japan
Email Address * Note: Please do not provide mobile phone provider email address

Student Screenings and School Trials
Have you already scheduled your screening or school trial?	No   Yes
I would like to schedule the following	Online Student Screening (@ ¥15,000 Zoom Screening if your child is unable to attend the trial in person) School Trial (@ ¥12,500 - Trial at Kspace 9:30am to 12:30pm or 2:00pm to 5:00pm) Note: In-person trials are for students in Japan at (or near) the time of application. Our admissions office will advise.
Online Screening Booking Select the date and time for your online screening
Date and Time (Monday to Friday)
Screening Times (Monday to Friday)	--:-- 10:30 11:00 11:30 2:30 3:00 3:30 4:00 4:30 5:00 5:30
Date and Time (Saturdays)
Screening Times (Saturdays)	--:-- 2:30 3:00 3:30 4:00 4:30 5:00 5:30

Summer School Uniform
Dress (number of items)	0   1   2   3   4   5
Shorts (number of items)	0   1   2   3   4   5
T.Shirt (number of items)	0   1   2   3   4   5

 

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

To give you an accurate invoice please complete fields for every date that you want to book.

Booking Dates (Summer School - July 17th to August 21st, 2027)
					SATURDAY
					JULY 17 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm
MONDAY	TUESDAY	WEDNESDAY	THURSDAY	FRIDAY	SATURDAY
July 19 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	July 20 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	July 21 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	July 22 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	July 23 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	July 24 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm
MONDAY	TUESDAY	WEDNESDAY	THURSDAY	FRIDAY	SATURDAY
July 26 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	July 27 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	July 28 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	July 29 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	July 30 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	July 31 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm
MONDAY	TUESDAY	WEDNESDAY	THURSDAY	FRIDAY	SATURDAY
Aug 02 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	Aug 03 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	Aug 04 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	Aug 05 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	Aug 06 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	Aug 07 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm
MONDAY	TUESDAY	WEDNESDAY	THURSDAY	FRIDAY	SATURDAY
Aug 09 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	Aug 10 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	Aug 11 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	Aug 12 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	Aug 13 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	Aug 14 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm
MONDAY	TUESDAY	WEDNESDAY	THURSDAY	FRIDAY	SATURDAY
Aug 16 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	Aug 17 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	Aug 18 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	Aug 19 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	Aug 20 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	Aug 21 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm
Booking Dates (SUMMER SCHOOL EXTENSION - August 25th to September 4th, 2027)
MONDAY	TUESDAY	WEDNESDAY	THURSDAY	FRIDAY	SATURDAY
AUG 23 School Closed	AUG 24 School Closed	Aug 25 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	Aug 26 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	Aug 27 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	Aug 28 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm
MONDAY	TUESDAY	WEDNESDAY	THURSDAY	FRIDAY	SATURDAY
Aug 30 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	Aug 31 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	Sep 01 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	Sep 02 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	Sep 03 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm	Sep 04 Regular Programme 9.00am to 3.00pm After School 3.00pm to 4.00pm 4.00pm to 5.00pm 5.00pm to 6.00pm Breakfast Club 8.00am to 9.00am Extension Hr 6.00pm to 7.00pm

 

IMPORTANT NOTE & AUTHORISATIONS

Bookings are only secured with full payment.

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