Summer School 2007 Application Form

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Name: (Last/First/Middle)
Date of Birth: (Month/Day/Year)Age:
Parent or Guardian:
Address:
TEL:	FAX:
E-mail:	Mobile:
Emergency Contact Person:
My child will attend:   Session Term Session 1 June 11 - June 15 Session 2 June 18 - June22 Session 3 June 25 - June 29 Session 4 July 2 - July 6 Session 5 July 9 - July 13 Session 6 July 16 - July 20 Session 7 July 23 - July 27 Session 8 July 30 - August 3 Session 9 August 6 - August 10

SIS Summer School is divided into 9 sessions. Each session consists of 5 days from Monday to Friday. The total cost per session is 42,000 yen (3-8 years olds) which includes the consumption tax and fees for materials. Your registration will not be processed until our accounting office confirms that the required payment has been made. Please send your application form by e-mail or fax. Please be advised that there is limited space available, so we can only accommodate children on a first-come, first-served basis. For further information, please feel free to contact us at 03-5717-6769.

19-21 Seta 2-Chome, Setagaya-ku, Tokyo  158-0095     Tel/Fax: 03-5717-6769
E-mail: sip@seta-inter.com     http://www.seta-inter.com/