Form: Reg-Adult

Have you taken a class at VJLS before?
本校で以前に授業を受けたことはありますか

Class Requested ご希望のクラス
Weekday:
Saturday:
Private:


Name (English) Required

名前 (Name in Japanese, if known)

Contact Information 連絡先

Required

Address 住所 Required


Previous Japanese Language Education and/or Experience

Note 備考


How did you find out about our school?

Photo Permission 写真掲載の許可 Required
生徒の写真を学校のウェブサイトや学校外のメディアに掲載することがあります。
VJLS-JH may use your photo for public relations and/or promotional purposes.

Policies and Procedures 細則 Required

VJLS-JH細則に同意します。
Please read the VJLS-JH Policies and Procedures, including withdrawal and refunds policy. NO REFUNDS are given for courses shorter than 10 weeks per session.