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SUMMER SCHOOL APPLICATION

 I have read Little Brown Summer School 2021 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 2021
*Choice of weeks Term 2 (7/12~7/30)   3 weeks (6/14~7/2)
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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