TCG Summer

Karuizawa Nature Adventure 2023

Registration Form - Tokyo Children's Garden
Child's Name 子供の氏名*

First NameLast Name
Gender 性別*

Boy (男)Girl (女)Prefer not to say
Eligible Ages:

4 to 6 Years Old, ４歳〜６歳
Child's Date of Birth　子供の生年月日*

MonthDayYear
Date
Child's current registered School 子供の現在在籍している学校名
What is your child's English Level? 子供の英語レベル

NativeAdvancedIntermediateBeginner
Parent's Name 保護者の氏名*

First NameLast Name
Relationship to Child 保護者の関係*
Email Address メールアドレス*
example@example.com
Phone Number 電話番号（緊急)*
Home Address 住所*
Health Concerns and Allergy (Please pack a lunch for your child if s/he has a food allergy.) If none, please write "None". 健康面で伝えておきたいこと、アレルギー情報（食物アレルギーがある場合はお弁当を持たせて下さい）何もなければ「なし」とご記入下さい*
Emergency Contact Information (Other than listed above.)
緊急連絡先（上記以外の）
Emergency Contact Full Name　緊急連絡先の氏名*

First NameLast Name
Emergency Contact Relationship to Child 緊急連絡先の関係*
Emergency Contact Phone Number 緊急連絡先の電話番号*
Please be aware that while we want to be as inclusive as possible, if on consultation we feel that we would be unable to adequately accommodate your child, we may decide to cancel your booking. In this event, all fees will be refunded in full. 可能な限りインクルーシブである活動であることを目指しますが、適切に対応できない場合は、相談の上、予約をキャンセルさせていただく場合があります。この場合、すべての料金は全額払い戻されます。
Special Needs (特別なサポートが必要なこと)
Choose Your Weeks*
prevnext( X )
Week 1: July 24 - 28, 2023Regular Price: ¥154,000 Early Bird Price: ¥144,000
¥144,000



Week 2: July 31 - August 4, 2023Regular Price: ¥154,000Early Bird Price: ¥144,000
¥144,000



Week 3: August 7 - 11, 2023Regular Price: ¥154,000 Early Bird Price: ¥144,000
¥144,000



Week 4: August 14 - 18, 2023Regular Price: ¥154,000 Early Bird Price: ¥144,000
¥144,000



Subtotal

¥0

Tax

¥0

Total

¥0
Click 'Submit' to be redirected to a secure Stripe page, where you can finalize your registration with a credit card payment.

You'll know your registration is submitted when you receive an email confirmation. If you don't receive an email confirmation, please get in touch with us for assistance.
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Karuizawa Nature Adventure 2023