Winter School 2024 Online Booking Form Overseas - Kspace International Preschool & Kindergarten Shirokanedai, Tokyo

Welcome to the Kspace International School winter booking process. We invite overseas students!
Please complete one form per child
Add ticks in the dates and times that you would like your child to attend.
This is not an enquiry form, it is for booking only.
For Winter School 2024 general information please contact us here.
Class Placement
Your child's group is based on their date of birth and age as of August 31st 2024. Our team will inform you of your child's group.

School Tour/Screening
An additional fee of ¥15,000 per child is mandatory for all overseas bookings and for families that are not resident in Japan. This fee is due prior to the main invoice and will allow you to participate in a virtual tour of our school. We also require a brief Zoom meeting with a parent and the applying student/students prior to accepting the booking. This interactive session assists us to get you know you a little better and gives you an opportunity to find out more about Kspace seasonal camps. Thank you for considering our school, and we look forward to meeting you virtually.

NOTE
All overseas families will be asked to also provide us with child and accompanying parent's photos and photocopy of passports, for registration purposes.
We will also require the address that you will be staying in Japan, when you are aware of it.
We will contact you when we receive your details to advise you of the next steps.

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

General Information
1) Are you an enrolled Kspace member?	No Yes
2) Please choose your preferred membership option: *Guest Visitor Only Membs covers this winter school only and cannot be deducted from any other type of membership in the future.	Guest Visitor Only (*¥10,000 per child) Kspace Midweek Memb (¥20,000 per child) Saturday Memb (¥40,000 per child & ¥10,000 annual fee)
3) Has your child ever attended a Kspace Spring/Winter/Summer School?	No Yes
a)If 'Yes' to the above, please give details of programme
b)If you answered 'No' to the above, have you ever visited Kspace before?	No Yes

Student's Information
Surname (family name) *
Forename (first name) *
Gender
Date of birth (DD/MM/YY) for example born 25/Oct/2019 *	Please select date of birth
Nationality/Nationalities (on passport)
Child's Passport Number (Note: we will also need a supplied photocopy of relevant pages by 1st day)
1^st 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 at all? (state the allergy, its intensity and if they also require an Epi-Pen)	No	Yes
Has your child received all vaccinations recommended in Japan?	No	Yes
Does your child have any special diet (please list)?	No	Yes

Winter School Uniform
T-shirt (number of items)	0 1 2 3 4 5
Long Sleeved Shirt (number of items)	0 1 2 3 4 5
Sweatshirt (number of items)	0 1 2 3 4 5
Sweatpant (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.

All new students to Kspace must take a paid trial before Winter School.

If you are overseas you must arrange a screening and meeting via Zoom (as mentioned above) @ ¥15,000 pretax per student. If your overseas family will arrive in Tokyo before Winter School begins, we might also request that you arrange a paid trial on-site class prior to December 14th.

Bookings are only secured with full payment. There are no paid trials after December 14th 2024, and any attendance in Winter School incurs membership/materials and uniform fees.

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Type Name in full (first/ middle/family name) :
Completing this field acts in place of your handwritten signature, in agreement with the authorisations above and for booking application at Kspace International School.

The data that you submit online will be treated and stored with absolute respect and confidentiality.

Parent/Guardian Contact Information	Address in Japan
Please list the name of the primary English speaker in 'Parent A', if you have an English speaker in your family.
Parent A's Name (first name/family name) *
Relationship to Student
Nationality
Contactable/Main Parent's Passport Number (Note: we will also need a supplied photocopy of relevant pages on 1st day)
Parent B's Name (first name/family name)
Relationship to Student
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)
Incoming flight date into Japan and country of departure
Company address and contact in Japan (if parents are entering for business purposes)
Email Address * Note: Please do not provide mobile phone provider email address

KSPACE WINTER SCHOOL 2024

BOOKING FORM FOR OVERSEAS RESIDENTS

General Information

Student's Information

Student's Medical Information

No

Yes (Please provide information)

Parent/Guardian Contact Information

Address in Japan

Winter School Uniform

Booking Dates (Winter School - December 16th to 21st, 2024 & January 4th, 2025)

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

December 16

December 17

December 18

December 19

December 20

December 21

SATURDAY

January 4