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

March Sessions

  • Saturday March 28th CLOSED (Members' Picnic Date!)

April Sessions

  • Saturday 4th April
  • Saturday 11th April
  • Saturday 18th April
  • Saturday 25th April

May Sessions

  • Saturday 2nd May CLOSED
  • Saturday 9th May CLOSED
  • Saturday 16th May
  • Saturday 23rd May
  • Saturday 30th May

Class Information- Child 2 (for families adding siblings)

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

March Sessions

  • Saturday March 28th CLOSED (Members' Picnic Date!)

April Sessions

  • Saturday 4th April
  • Saturday 11th April
  • Saturday 18th April
  • Saturday 25th April

May Sessions

  • Saturday 2nd May CLOSED
  • Saturday 9th May CLOSED
  • Saturday 16th May
  • Saturday 23rd May
  • Saturday 30th May

Class Information- Child 3 (for families adding siblings)

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

March Sessions

  • Saturday March 28th CLOSED (Members' Picnic Date!)

April Sessions

  • Saturday 4th April
  • Saturday 11th April
  • Saturday 18th April
  • Saturday 25th April

May Sessions

  • Saturday 2nd May CLOSED
  • Saturday 9th May CLOSED
  • Saturday 16th May
  • Saturday 23rd May
  • Saturday 30th May
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 *: