| ■ Parent/Guardian Information |
| Name |
|
| Relationship to Student |
|
| Home Address |
|
| Tel (Home) |
|
| Tel (Office) |
|
| Tel (Mobile) |
|
| Fax |
|
| E-mail |
|
| Are you willing to participate in activities at Global Kids Academy? |
Would you like to share your travel experiences with children? Would
you like to be a guest speaker or invite children to your workplace?
Any special interests or hobbies you want to share with the children?
|
| ■ 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
|
Programs
Please let us know the days of the week and time slots for which your child
is available and the programs you are interested in having your child
attend. We will schedule a meeting and discuss the ideal program and
scheduling for your child.
|
| |