NIC Japanese Class for Children

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Required Student's name(名前)

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Required Gender(性別)

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Required Date of Birth(生年月日)

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Required Age(年齢)

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Required Do you attend public elementary school or junior high school in Nagoya City?(市公立小・中学校)

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RequiredOptional School name(学校名)

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RequiredOptional Grade(学年)
年生

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Required Nationality(国籍)

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Required Native language(母語)

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Required Date of child's arrival in Japan(来日年月日)

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Required Do you live in Nagoya City?(市内在住)

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Required Postal Code(郵便番号)
-

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Required Your Address(住所)

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Optional Contact phone number(電話番号)

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Required E-mail address(Eメール)

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Required Parent's name(保護者の名前)

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Required Parent's contact phone number(保護者の電話番号)

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Required Students may be photographed and interviewed during class.
Do you give permission for your child to be photographed and videotaped?(撮影許可)

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Required Would you be able to participate if the class were to be provided online? (オンライン)

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Required Do you agree with the above information and give consent for the applicant to join NIC Japanese Class for Children?(受講同意)
※If you select "No", the applicant will not be able to participate.

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Optional What kind of things would you like to learn in classes? (Please feel free to write anything you would like to learn)(学習目的)
Optional We would like to send students of NIC Japanese language classes information about events which may be useful for Japanese study or daily life. Information may not always be provided in your native language. Information will be sent to you for around a year.
If you do not wish to receive information, please indicate by checking the box below.(イベント情報受取可否)

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