Form: VJLS Adult Classes

    Class Requested - Ctrl+Click or ⌘+Click for multiple selections Required

    Name (English) Required

    名前 (Name in Japanese, if you know)

    Contact Information 連絡先


    Address 住所 Required

    Previous Japanese Language Education and/or Experience

    Note 備考

    How did you find out about our school? Please select one or more.

    Photo Permission 写真掲載の許可 Required
    VJLS-JH may use your photo for public relations and/or promotional purposes.

    VJLS-JH Policies VJLS-JH細則 Required
    Please read "VJLS-JH Policies and Procedures" before proceeding.

    Please note that six (6) weeks advanced written notice is required for extended absence or (excluding breaks) withdrawal from a course. NO REFUNDS are offered for weekday adult course once the class starts.