Japanese
English
About
Japanese
English
About
Booking
Programme
*
Program1 Summer Camp in Chiba
Name
*
First Name
Last Name
Preferred Pronouns
she/her/hers
he/him/his
they/them/theirs
others
Sex
*
Male
Female
Non-binary
Other
Birth Date
*
MM
DD
YYYY
Age
*
Grade
*
Parent's / Guardian's Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone number
*
Method of payment
*
Credit Card
Email address
*
#1 Photo Permmission
*
Do you allow us to take photo of your kids showing his/her face?
Yes
No
#2 Photo Permission
*
Do you allow us to take your kids photos NOT showing his/her face?
Yes
No
Privacy Policy
*
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