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Registration Winter
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Registration Winter
Registration Winter
ican947
2019-11-05T11:57:54+00:00
Planning for the holidays…?
2019 I CAN Gymnastics Winter Session is a great Christmas treat for your child!
SUPER FUN & CORE CONDITIONING – Tumbling, trampoline, mini-trampoline etc
@ the Nishimachi International School gym – limited spaces…!
Registration Winter 2019
December Session
December 23, 24, 26, 27 / @NIS 9:00 ~ 12:00 daily / for children 6 – 10 years old Cost per child: 33,000 yen
Mitsubishi UFJ Bank / Hiroo Branch
Futsu (Ordinary) Account
Account No. 0892389
Account holder: IGC Japan Yugen Kaisha
**Domestic transactions only – no transfers from outside Japan**
STUDENT INFO
First Name
*
Last Name
*
Sex
*
Male
Female
B-day (yyyy/mm/dd
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*Please input in form of "yyyy/mm/dd" Eg.) February 4th,1995 will be 1995/02/04
Age
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Email
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Eg.) example@igcjapan.com
Nationality
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School Name
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PARENT'S INFORMATION
Title
*
Mr.
Mrs.
Miss.
Dr.
First Name
*
Last Name
*
Cellphone#
*
Eg.) 090-xxxx-xxxx
Email
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Eg.) example@igcjapan.com
Company
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Office Tel
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Eg.) 03-xxxx-xxxx
B-day (yyyy/mm/dd)
*
*Please input in form of "yyyy/mm/dd" Eg.) February 4th,1995 will be 1995/02/04
PARENT'S INFORMATION 2 - Please fill in "NA" if inapplicable.
Title
*
Mr.
Mrs.
Miss.
Dr.
First Name
*
Last Name
*
Cellphone#
*
Eg.) 090-xxxx-xxxx
Email
*
Eg.) example@igcjapan.com
Company
*
Office Tel
*
Eg.) 03-xxxx-xxxx
B-day (yyyy/mm/dd)
*
*Please input in form of "yyyy/mm/dd" Eg.) February 4th,1995 will be 1995/02/04
GENERAL INFO
Postal #
*
Eg.) 106-xxxx
Prefecture
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City
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Address1
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Address2
Home Phone #
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Eg.) 03-xxxx-xxxx
TAC MEMBER #
Has your child ever been a part of the I CAN. program?
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Yes
No
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