Student Information #1ãçåŸæ å ±#1
Please complete as best you can and if an area does not apply to you, please insert "Not Applicable".å¯èœãªéãå šãŠã®é ç®ã®ãå ¥åããé¡ãããããŸããåœãŠã¯ãŸããªãå Žåã«ã¯ã"Not Applicable" ãšãå ¥åãã ããã
Child's Name - First ãåæ§ã®åå - å (挢å+èªã¿ä»®å) 倪é ããã or Tarou
*
Child's Name - Last ãåæ§ã®åå - å§ (挢å+èªã¿ä»®å) ç°äž ããªã or Tanaka
*
Child's Birthdate (Please make sure you choose the correct YEAR) - Required for Insuranceããåæ§ã®çå¹Žææ¥ (è¡šç€ºã¯æ/æ¥/幎ã§ããæ£ãã幎ãéžãã§ãããã確èªãã ãã)ä¿éºã®çºã«å¿ èŠãšãªããŸãã
*
 -
Month
 -
Day
Year
Date Picker Icon
Child's Gender: (Required for Insurance)ã ãåæ§ã®æ§å¥ (ä¿éºå å ¥ã®ããå¿ èŠã§ãïŒ
*
Female 女
Male ç·
Please check if any of the below applies to your child. ãåæ§ã«åœãŠã¯ãŸãé ç®ã«ãã§ãã¯ãå ¥ããŠãã ããã
*
Food Allergies é£ç©ã¢ã¬ã«ã®ãŒ
Learning Needs åŠç¿ã«ãããŠæ¯æŽãå¿ èŠ
Eating Food Issues or Dietary Requirements é£äºã®éæ°ãã€ããããš
Behavioural Needs çæŽ»è¡åãæŽ»åã«ãããŠæ¯æŽãå¿ èŠ
Not Applicable 該åœãªã
Other
Please provide more information if you checked any of the above boxes. äžèšãã§ãã¯ããé ç®ã®è©³çŽ°ãªæ å ±ããç¥ãããã ããã
Attendance - Child #1ã åå ãåžæãããæ¥ã«ã¡ - ãåæ§#1
*
Complete Program (3/24/2026 - 3/27/2026) å šãŠã®ã¯ã©ã¹
Daily Option /1æ¥åäœã§åå åžæ - 3/24 Tue
Daily Option /1æ¥åäœã§åå åžæ - 3/25 Wed
Daily Option /1æ¥åäœã§åå åžæ - 3/26 Thu
Daily Option /1æ¥åäœã§åå åžæ - 3/27 Fri
For those choosing the Daily Option, please provide the specific dates you would like to book. 1æ¥åäœãéžæãããæ¹ã¯ããåžæã®æ¥ä»ããç¥ãããã ããã
If your child/children is/are over 3 years old, are you requesting the shuttle bus. (*Conditions Apply).Radius 3.5km from PPI. çéè¿ãã¹ã®å©çšãåžæãããŸããïŒïŒïŒæ³ä»¥äžã®ãåããŸã«éããŸãïŒ*æ¡ä»¶ã«ãããå©çšããã ããªãå ŽåãããããŸããäºããäºæ¿ãã ããã察å¿å¯èœç¯å² : PPIããååŸ3.5kmåå
*
Rows
Yes åžæãã
No åžæããªã
Not Applicable 該åœãªã
3/24 - 3/27(å šæ¥çš)
3/24 Tue
3/25 Wed
3/26 Thu
3/27 Fri
Do you want to register another child? ãåæ§ã远å ãåžæã§ããïŒ
*
Yes ã¯ã
No ããã
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Student Information #2ãçåŸæ å ±#2
Please complete as best you can and if an area does not apply to you, please insert "Not Applicable". å¯èœãªéãå šãŠã®é ç®ã®ãå ¥åããé¡ãããããŸããåœãŠã¯ãŸããªãå Žåã«ã¯ã"Not Applicable" ãšãå ¥åãã ããã
Child's Name - First ãåæ§ã®åå - å (挢å+èªã¿ä»®å) 次é ããã or Jirou
*
Child's Name - Last ãåæ§ã®åå - å§ (挢å+èªã¿ä»®å) ç°äž ããªã or Tanaka
*
Child's Birthdate (Please make sure you choose the correct YEAR) - Required for Insuranceããåæ§ã®çå¹Žææ¥ (è¡šç€ºã¯æ¥/æ/幎ã§ããæ£ãã幎ãéžãã§ãããã確èªãã ãã)ä¿éºã®çºã«å¿ èŠãšãªããŸãã
*
 -
Month
 -
Day
Year
Date Picker Icon
Child's Gender: (Required for Insurance)ã ãåæ§ã®æ§å¥ (ä¿éºå å ¥ã®ããå¿ èŠã§ãïŒ
*
Female 女
Male ç·
Please check if any of Behavioural Needs çæŽ»è¡åãæŽ»åã«ãããŠæ¯æŽãå¿ èŠãªå Žåthe below applies to your child. ãåæ§ã«åœãŠã¯ãŸãé ç®ã«ãã§ãã¯ãå ¥ããŠãã ããã
*
Food Allergies é£ç©ã¢ã¬ã«ã®ãŒ
Learning Needs åŠç¿ã«ãããŠæ¯æŽãå¿ èŠãªå Žå
Eating Food Issues or Dietary Requirements é£äºã®éæ°ãã€ããããš
Behavioural Needs çæŽ»è¡åãæŽ»åã«ãããŠæ¯æŽãå¿ èŠãªå Žå
Not Applicable 該åœãªã
Other
Please provide more information if you checked any of the above boxes. äžèšãã§ãã¯ããé ç®ã®è©³çŽ°ãªæ å ±ããç¥ãããã ããã
Attendance - Child #2ãåå ãåžæãããæ¥ã«ã¡ - ãåæ§#2
*
Complete Program (3/24/2026 - 3/27/2026) å šãŠã®ã¯ã©ã¹
Daily Option /1æ¥åäœã§åå åžæ - 3/24 Tue
Daily Option /1æ¥åäœã§åå åžæ - 3/25 Wed
Daily Option /1æ¥åäœã§åå åžæ - 3/26 Thu
Daily Option /1æ¥åäœã§åå åžæ - 3/27 Fri
For those choosing the Daily Option, please provide the specific dates you would like to book. 1æ¥åäœãéžæãããæ¹ã¯ããåžæã®æ¥ä»ããç¥ãããã ããã
If your child/children is/are over 3 years old, are you requesting the shuttle bus. (*Conditions Apply).Radius 3.5km from PPI. çéè¿ãã¹ã®å©çšãåžæãããŸããïŒïŒïŒæ³ä»¥äžã®ãåããŸã«éããŸãïŒ*æ¡ä»¶ã«ãããå©çšããã ããªãå ŽåãããããŸããäºããäºæ¿ãã ããã察å¿å¯èœç¯å² : PPIããååŸ3.5kmåå
*
Rows
Yes åžæãã
No åžæããªã
Not Applicable 該åœãªã
3/24 - 3/27(å šæ¥çš)
3/24 Tue
3/25 Wed
3/26 Thu
3/27 Fri
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Uniform Supplies
prev
next
( X )
Short Sleeve T Shirt
Cotton and Dry Fit Supplies
Â¥2,000
Â¥
2,000
Size
70cm
80cm
90cm
100cm
110cm
120cm
130cm
140cm
150cm
160cm
Quantity
1
2
3
4
5
6
Â
Â
Long Sleeve T Shirt
Â¥2,500
Â¥
2,500
Size
110cm
Quantity
1
2
Â
Â
Cotton Trainer
Â¥3,000
Â¥
3,000
Size
100cm
110cm
120cm
130cm
Quantity
1
2
3
4
5
Â
Â
Back Pack
Â¥3,000
Â¥
3,000
Quantity
1
2
Â
Â
Back
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Parental Informationãä¿è·è æ å ±
Please complete as best you can and if an area does not apply to you, please insert "Not Applicable". å¯èœãªéãå šãŠã®é ç®ã®ãå ¥åããé¡ãããããŸããåœãŠã¯ãŸããªãå Žåã«ã¯ã"Not Applicable" ãšãå ¥åãã ããã
Mother's Name - First and Lastãæ¯æ§ã®åå ïŒå+å§ããµãããªïŒè±åãç°äž (ã¯ãªã ããªã) or Hanako Tanaka
*
Mother's Telephone Numberã ãæ¯æ§ã®é£çµ¡å
*
Please enter a valid phone number.
Format: (000) 0000-0000.
Mother's Email Address ãæ¯æ§ã®Eã¡ãŒã«ã¢ãã¬ã¹
*
example@example.com
Father's Name (First and Last)ããç¶æ§æ°åïŒå+å§ããµãããªïŒåä»ãç°äž (ãããã ããªã) or Keisuke Tanaka
*
Father's Telephone Numberããç¶æ§ã®é£çµ¡å
*
Please enter a valid phone number.
Format: (000) 0000-0000.
Parent's Complete Address - Required for Insurance (Please include postcode. ã)ä¿è·è æ§å šãŠã®äœæ (éµäŸ¿çªå·ããé¡ãããŸã) - ä¿éºã®çºã«å¿ èŠã«ãªããŸãã
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
People Authorized to Collect Your Child if Primary Parent is unable to. Please list below along with telephone numbers. ä¿è·è ã®ä»£ããã«ãåæ§ã®ãè¿ãã«æ¥ã人ã®ååãšé»è©±çªå·ããç¥ãããã ããã
*
Accounting Detailsããæ¯æãã«ã€ããŠ
Bank Transfers éè¡æ¯èŸŒ
Which bank account to you prefer? éè¡æ¯èŸŒã®å Žåãäžèšããæ¯èŸŒå ããéžã³ãã ããã
*
Bank of Nagoya (Nagoya Bank) åå€å±éè¡
Mitsubishi UFJ äžè±UFJéè¡
Yucho Postal Account (Japan Postal Service) ããã¡ãéè¡
Wise Payment Link (æµ·å€éé)
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Agreementãåæ
Please be patient with our agreement. It's language is direct but the intent is to protect both your child and our school, Playpourri. è±èªè¡šèšã§å€å°ã¹ãã¬ãŒããªè¡šçŸãããããŸããããåæ§ãšåœæ ¡ã®éã§èª€è§£ãªã©æãããšãé²ãããã以äžã®é ç®ã«ã€ããŠååã«ãçè§£ããã ããŸãããããé¡ãããããŸãã
I understand that specific lesson dates will be listed on my PDF invoice as well as the PPI Kids Diary Platform. ã¬ãã¹ã³ã¹ã±ãžã¥ãŒã«ã¯ãPDFè«æ±æžã«èšèŒãããŠããããšãããŸãPPIãããºãã€ã¢ãªãŒã«ãŠç¢ºèªã§ããããšãäºæ¿ããŸãã
*
Agreed. äºæ¿ããŸã
I understand that Spring School afterschool activities will be posted closer to the event and parents can register for afternoon activities or kids club via the PPI Kids Diary Platform.ã¹ããªã³ã°ã¹ã¯ãŒã«ã®ååŸã®ã¢ã¯ãã£ããã£ãŸãã¯ãããºã¯ã©ãã«ã€ããŸããŠã¯ãé嬿¥ãè¿ã¥ããŸããããæ¡å ããããŸãããªãããç³èŸŒã¿ã¯ãPPI Kids DiaryïŒãããºãã€ã¢ãªãŒïŒãããæç¶ãããã ããŸããããé¡ãããããŸãã
*
Agreed. äºæ¿ããŸã
I understand that school doors will open to students promptly at Class start. I understand I am to follow Health and Safety Rules per handbook guidelines. ã ææ¥éå§æéããå ¥å®€ããããšããŸããå ¥å®€æã®ææäºé²å¯Ÿçã«ã€ããŠãã³ãããã¯ã¬ã€ãã©ã€ã³ã«åŸãããšãäºæ¿ããŸãã
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Agreed. äºæ¿ããŸã
I understand that I am to collect my child promptly at the lesson finish time. Children not collected promptly will placed in Kids Eikaiwa Club and parents charged accordingly. ã¬ãã¹ã³çµäºæéã«ãåæ§ãè¿ãã«æ¥ãããšãäºæ¿ããŸãããè¿ãæé(ã¬ãã¹ã³çµäºæé)ã«é ããå Žåã¯ããããºè±äŒè©±ã¯ã©ãã®ãå©çšãšãªããå©çšæãçºçããããšãäºæ¿ããŸãã
*
Agreed. äºæ¿ããŸã
I understand that there is no refund for withdrawal, cancellation or absence.ã ãã£ã³ã»ã«åã³æ¬ åžã®éã®è¿éã¯ç¡ãããšãäºæ¿ããŸãã
*
Agreed. äºæ¿ããŸã
I understand my child is to bring all items requested in backpack.ãæ±ºããããæã¡ç©ãã¹ã¯ãŒã«ããã°ã«å ¥ããŠåå ããããšã«ã€ããŠäºæ¿ããŸãã
*
Agreed. äºæ¿ããŸã
I give permission for my child to participate in all school activities, including but not limited to cooking, outdoor play, water play, Forest Friends, physical education, yoga, science, social studies, excursions and understand that the employees of Playpourri International will take the utmost care to perform all activities as safely as possible and cannot be held responsible for accidents.ã ã¯ã©ã¹æéå ã«ããã¬ã€ããªãŒã€ã³ã¿ãŒãã·ã§ãã«ã®è¬åž«ãã¹ã¿ããã®å¯èœãªéãå®å šãªç¶æ ã®æå€§éã®ã±ã¢ã®ããšã§ãåã©ãããã¯ããã³ã°ãã¢ãŠããã¢ãæ°Žéã³ããã©ã¬ã¹ããã¬ã³ãºãäœè²ããšã¬ãç§åŠã瀟äŒãªã©ã®æŽ»åã«åå ããäºãæ¿è«ŸããŸãããããŠäºæ ã®éã«ã¯ä¿éºãé©çšããããã¬ã€ããªãŒã¯äžåã®è²¬ä»»ãè² ããªãããšãäºæ¿ããŸãã
*
Agreed. äºæ¿ããŸã
In the event I cannot be reached to make arrangements for emergency medical attention, I authorize the facility director or person in charge to take my child for treatment. I further authorize the decision to give treatment as advised by ambulance, clinic or hospital medical personnel.ã å»çè¡çºã®å¿ èŠãªç·æ¥æã«ããã¬ã€ããªãŒã€ã³ã¿ãŒãã·ã§ãã«ã®è¬åž«ãã¹ã¿ããããã®é£çµ¡ã«å¿çã§ããªãå Žåãç é¢ãã¯ãªããã¯ã®æ åœè ã«ãã£ãŠåŠçœ®ãæœãããããšã«æš©éãå§ããŸãããŸããåŠçœ®å å®¹ã¯ææ¥è»ãã¯ãªããã¯ç é¢ã®å»çåŸäºè ã®å€æã«å§ããŸãã
*
Agreed. äºæ¿ããŸã
I understand that my child will not attend if showing any symptoms of illness, including but not limited to; sore throat, cough, cold, sneezing, runny nose, ear infections, vomiting, elevated temperature, etcetera. åã®çã¿ãå³ã颚éªããããã¿ã錻氎ãäžè³çãååãé«ç±ãªã©ã®çç¶ãããæã¯ç»æ ¡ãæ§ããããšãäºæ¿ããŸãã
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Agreed. äºæ¿ããŸã
I understand that Playpourri reserves the right to refuse a students attendance IF the student is a danger to him/herself or others. No refund will be given. ãåæ§ãèªåèªèº«ãŸãã¯ä»äººã«å±éºãåãŒãå Žåã«ã¯ããã®ãåæ§ã®åºåžãæåŠããæš©å©ããã¬ã€ããªãŒãæããããšã«æ¿è«ŸãããŸãã ãã®éã®åå è²»ã®è¿éã¯ãããŸããã
*
Agreed. äºæ¿ããŸã
I understand that Playpourri reserves the right to refuse a students attendance IF the primary carer or parents are disrespectful, rude or aggressive towards PPI staff, students or parents. No refund will be given. ãåæ§ã®ä¿è·è æ§ããå®¶æã®æ¹ãªã©ããã¬ã€ããªãŒã®ã¹ã¿ããããã®ä»ã®çåŸãä¿è·è ã«å¯ŸããŠç¡ç€Œãå€±ç€Œãæ»æçãªè¡çºãè¡ã£ãå Žåããã¬ã€ããªãŒãçåŸã®åºåžãæåŠããæš©å©ãæããããšãæ¿è«ŸãããŸãã ãã®éã®åå è²»ã®è¿éã¯ãããŸããã
*
Agreed. äºæ¿ããŸã
I understand that that photos and videos taken by Playpourri Staff may be used at anytime for marketing materials such as pamphlets, brochures, leaflets, blogs etcetera as well as being posted on our Playpourri International Homepage, Facebook, Instagram, Kids Diary, Mailchimp, Welkids, Classdojo, LINE and YouTube sites. ãã¬ã€ããªãŒã¹ã¿ãããæ®åœ±ããåçãåç»ã¯ããã³ãã¬ããããã©ã·ãããã°ãªã©ã®ããŒã±ãã£ã³ã°è³æãšããŠããŸãããã¬ã€ããªã€ã³ã¿ãŒãã·ã§ãã«ã®ããŒã ããŒãžã FacebookãKids Diaryã MailchimpãWelkidsãInstagramãClassdojoãLINEãYouTubeãªã©ã®ãµã€ãã«æ²èŒããå Žåãããããšãæ¿è«ŸããŸãã
*
Agreed. äºæ¿ããŸã
I understand that Playpourri may arrange excursions to the local parks, museums and other educational locations and use transportation, such as the Playpourri Bus, Shuttle, Teacherâs Insured Vehicles, 10- Seater Car Hire, Public Transport or Taxi Service. (This will depend greatly on the weather, Covid-19 status, staff availability and schedule.)ããã¬ã€ããªãŒããé è¶³çã®æè²æŽ»åã®ããã«è¿é£ã®å ¬åãåç©é€šãªã©ãžã®æœèšãæé ããå Žåããã¬ã€ããªãŒãã¹ãã·ã£ãã«ãã¹ãè¬åž«ã®ä¿éºä»ãè»äž¡ã10人ä¹ãã¬ã³ã¿ã«ãŒãå ¬å ±äº€éæ©é¢ãã¿ã¯ã·ãŒãªã©ã®äº€éæ©é¢ãå©çšããããšãäºæ¿ããŸãã (ããã¯å€©åãCovid-19ã®ç¶æ³ãã¹ã¿ããã®äººæ°ãã¹ã±ãžã¥ãŒã«ã«ãã£ãŠæ±ºå®ããŸã)
*
Agreed. äºæ¿ããŸã
I understand that Playpourri has electronic surveillance for the purpose of training and security. Only Authorized Staff have access. ãã¬ã€ããªãŒã€ã³ã¿ãŒãã·ã§ãã«ããã»ãã¥ãªãã£ã®ããæ ¡å ã«é»åç£èŠã·ã¹ãã ãå°å ¥ããŠããããšããŸããèš±å¯ãããã¹ã¿ããã®ã¿ãã¢ã¯ã»ã¹ã§ããããšãäºæ¿ããŸãã
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Agreed. äºæ¿ããŸã
I understand that by submitting this application form, I am agreeing to the terms and conditions of Playpourri International and will pay all my fees by the due date as listed in my child's Invoice. ãã®ç³èŸŒæžãæåºããããšã«ããããã¬ã€ããªãŒã€ã³ã¿ãŒãã·ã§ãã«ã®èŠçŽãšæ¡ä»¶ã«åæããããšãäºæ¿ããŸãããŸãææ¥æè«æ±æžã«èšèŒãããææ¥ãŸã§ã«å šãŠæ¯æãããšãäºæ¿ããŸãã
*
Agreed. äºæ¿ããŸã
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Invoice Delivery and Responsibility
è«æ±æžéä»ããã³æ¯æè²¬ä»»ã«ã€ããŠ
A booking is confirmed at the time an invoice is issued by Playpourri International. Once an invoice has been sent, the place is reserved and the full fee becomes payable, regardless of attendance or any later change of decision. It is the responsibility of the parent/guardian to ensure receipt of invoice emails, including checking all email folders (inbox, spam, junk, promotions, and any filtered folders). If an invoice has not been received within two (2) business days of registration or booking, parents/guardians must contact the school for follow-up. Please note that invoicing may be delayed due to school holidays, office closure days, system issues, or an incorrect or filtered email address. Failure to receive, locate, or view an invoice email, or failure to request follow-up, does not invalidate the booking, cancel the invoice, or remove the obligation to pay. ãã¬ã€ããªãŒã€ã³ã¿ãŒãã·ã§ãã«ã«ãããäºçŽã¯ãè«æ±æžçºè¡æç¹ã§ç¢ºå®ããŸããè«æ±æžçºè¡åŸã¯ãåºåžã®æç¡ãåŸæ¥ã®ææå€æŽã«ããããããåœè©²æ ã¯ç¢ºä¿ãããå šé¡ã®æ¯æçŸ©åãçºçããŸããè«æ±æžã¯ç»é²ãããã¡ãŒã«ã¢ãã¬ã¹å®ã«éä¿¡ãããŸããåä¿¡ç®±ã«éãããè¿·æã¡ãŒã«ãããã¢ãŒã·ã§ã³ããžã£ã³ã¯ã¡ãŒã«ããã®ä»ã®æ¯ãåããã©ã«ãçããã¹ãŠã®ã¡ãŒã«ãã©ã«ããã確èªããã ããŸããããé¡ãããããŸãããç³èŸŒã¿åŸã2å¶æ¥æ¥ä»¥å ã«è«æ±æžãå±ããªãå Žåã¯ãå¿ ãåœåãŸã§ãé£çµ¡ãã ããããªããåã®äŒæ¥æ¥ãäºåå¯Ÿå¿æ¥ãã·ã¹ãã äžå ·åãç»é²ã¡ãŒã«ã¢ãã¬ã¹ã®èª€ãçã«ãããè«æ±æžã®éä»ãé ããå ŽåããããŸããè«æ±æžãåä¿¡ãŸãã¯ã確èªããã ããªãã£ãå Žåããããã¯ç¢ºèªã®ãé£çµ¡ããªãã£ãå Žåã§ãã£ãŠããäºçŽã¯æå¹ãšãªããè«æ±ã®åæ¶ããæ¯æã矩åã®å é€ãšãªããªãããšãäºæ¿ããŸãã
*
Agreed. äºæ¿ããŸã
Nearly Finished! Just click SUBMIT!ãâ éä¿¡ãã¿ã³ãã¯ãªãã¯ããŠãã ãããâ
Thank You! ããããšãããããŸãïŒ We appreciate your participation and interest. Your application will join our Admin Queue. We hope to contact you as soon as possible. If you do not hear from a team member in that time, perhaps a technical glitch has happened so please call our office at 052-761-3188. We look forward to your child joining PPI and being a part of our School Community. Sincerely, Your PPI Team. é çªã«å¯Ÿå¿ãããŠããã ããŸãããããããé¡ãããããŸãããããåœæ ¡ããã®é£çµ¡ãç¡ãå Žåããé»è©±ã§ãååããã ããã052-761-3188 ã©ãããããããé¡ãããããŸãã PPIããŒã
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