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SUMMER SCHOOL APPLICATION

 I have read Little Brown Summer School 2018 and agree to the terms.
Parent / Guardian information
*Full name Ex: Akiko Takahashi
*Address Ex: 1-4 Honmokuhara, Nakaku, Yokohama
*Email Ex: joseph@littlebrown.jp
*Phone number Ex: 090-3333-2222 - -
Student information
*Full name Ex: Akira Takahashi
*Gender Male   Female
*Age Ex: 11
*School name Ex: Saint Maur International School
*Grade Ex: 8th grade starting in the fall 2018
*Choice of weeks 4 weeks (6/11~7/6)   3 weeks (6/11~6/29)
3 weeks (6/18~7/6)
Grade 9 to 12 only
*2nd Period Java Programing  Book Club  None
April: Early Registration Fee: ¥10,000 (payment due by April 30)
May : Normal registration Fee: ¥15,000 (payment due by May 31)
June 1-8: Late Registration Fee: ¥20,000 (payment due by June 8)
June 8: Deadline for payment of ALL summer school fees (including tuition & registration)

NOTE: Registration fees are non-refundable under any circumstances. Tuition cannot be refunded for withdrawals on or after June 11.

Simultaneous remittance of both registration and tuition fees can be made, if preferred. In this case, please complete tuition payment according to the registration deadline.
Please make payment to:

Yokohama Bank, Shinhonmoku Branch(319), Ordinary account No.1392151, ピーエムピーユー(カ

横浜銀行, 新本牧支店, 普通1392151, 名義人:ピーエムピーユー(カ

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