Winter School 2026 Online Booking Form - Kspace International Preschool & Kindergarten Shirokanedai, Tokyo

KSPACE WINTER SCHOOL 2026

BOOKING FORM FOR RESIDENTS IN JAPAN

Welcome to the Kspace International School winter booking process.
Please complete one form per child.
Add ticks in the dates and times that you would like your child to attend.
If you book 'All Day', 2hrs of after school are automatically included until 5.00pm.
This is not an enquiry form, it is for booking only.
Class Placement
Your child's group is based on their date of birth and age as of August 31st 2025. Our team will inform you of your child's group. 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) 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)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)
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)
Has your child received most vaccines recommended in Japan?	No (Vaccinations are advised)	Yes
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
Does your child have any special diet (please list)?	No	Yes

Parents' Information
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
Parent B's Name (first name/family name)
Relationship to Student
Nationality
Address (write full postal address - must be in Japan)

Postcode
Phone / landline
Mobile *
Email Address * Note: Please do not use a mobile phone provider email address.

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

How did you hear about us? :

WINTER BOOKING DATES & TIMES

Please add a tick mark ( ✔ ) in the boxes below, that you want your child to attend.

Booking Dates (Winter School - December 19th to December 29th, 2026)

SATURDAY

Dec 19 *Santa Visit +¥3,000 Charge
Regular Programme
	9.00am to 3.00pm
All Day
	9.00am to 5.00pm (includes 2hrs after school)
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 Hour
	6.00pm to 7.00pm

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

December 21
Regular Programme
	9.00am to 3.00pm
All Day
	9.00am to 5.00pm (includes 2hrs after school)
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 Hour
	6.00pm to 7.00pm

December 22
Regular Programme
	9.00am to 3.00pm
All Day
	9.00am to 5.00pm (includes 2hrs after school)
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 Hour
	6.00pm to 7.00pm

Dec 23
SCHOOL CLOSED

Dec 24
SCHOOL CLOSED Christmas Eve!

Dec 25
SCHOOL CLOSED Merry Christmas!

Dec 26
SCHOOL CLOSED Boxing Day

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

December 28
Regular Programme
	9.00am to 3.00pm
All Day
	9.00am to 5.00pm (includes 2hrs after school)
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 Hour
	6.00pm to 7.00pm

December 29
Regular Programme
	9.00am to 3.00pm
All Day
	9.00am to 5.00pm (includes 2hrs after school)
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 Hour
	6.00pm to 7.00pm

Dec 30
SCHOOL CLOSED

Dec 31
SCHOOL CLOSED New Year's Eve!

Jan 01
SCHOOL CLOSED Happy New Year!

Jan 02
SCHOOL CLOSED

IMPORTANT NOTES & AUTHORISATIONS

New students are required to complete a paid trial prior to Winter School placement (¥12,500 on-site or ¥15,000 for online screening).

By enrolling, families agree to follow all Kspace policies.

Please note that attendance on Saturday, December 19th includes an additional fee of ¥3,000 (before tax). On this day, children will enjoy a special visit from Santa and receive a small gift.

Please note that Winter School 2026 bookings are non-refundable. Cancellations, make-ups, or service credits are not available for sessions within this period.

An orientation and starter pack, including guidelines, will be shared with families before the programme begins.

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Parent/Guardian Online Signature

I am the parent/guardian and the information I have provided is correct.

I have read, understood and agree to all policies on the above Winter School Booking Form.

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.

Date :

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

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