Contact Form

Global Kids Academy(グローバルキッズアカデミー)
2-13-9 Moto Azabu, Minato-ku, Tokyo
Telephone Number: 03-5419-8277
Fax Number: 03-5419-8278

■ Parent/Guardian Information
Name
E-mail
■ Student Information
Name of Student
Student likes to be called
Gender	Boy　 Girl
Age
Date of Birth	(Month/Day/Year)
name of School
Grade/Level at current school
Language(s) used at home
Please select	English is native language Japanese is native language wish to focus on developing English skills wish to focus on developing Japanese skills
Comment