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Admission Application Form – Nakameguro Kindergarten

Thank you for applying to our kindergarten.
To help us process your application smoothly, please complete the form below.
Student Information
Photo of Studentrequired
10Mバイトまで 複数ファイルを送るには
Upload a clear photo of your child (face visible). Max 10MB.
Full Name (in English)required
First Name 
Last Name 
Name in Native Language (if applicable)
Date of Birth (MM/DD/YYYY)required
 M  D  Y 
Agerequired
 years old  
Graderequired
Genderrequired
Native Languagerequired
Home Addressrequired
〒－ 
都道府県
市区町村
町名番地等
建物名
Current School
Current Kindergarten / Nursery Schoolrequired
* Enter “None” if not currently attending a school.
English Experience
Has your child studied English before?required
Experience in learning Englishrequired
International School or English Conversation Schoolrequired
Duration (_years _months)required
Other English Learning Experiencerequired
Duration (_years _months)required
Why did you choose our school?required
What do you expect from our school?required
Admission & Attendance
Preferred Start Date (MM/DD/YYYY)required
 M  D  Y 
Preferred Attendancerequired
Days of Attendance (check all that apply)required
If your child does not attend on certain weekdays, how will they spend that time?required
Who will usually pick up your child? (Name & Relationship)required
In case of urgent pickup or emergency, who should we contact? (Name & Relationship)required
Parent/Guardian Information 1 (Primary Contact)
P1/ Full Name (English)required
First Name 
Last Name 
P1/ Name in Native Language (if applicable)
P1/ Relationship to Childrequired
P1/ Genderrequired
P1/ Native Languagerequired
P1/ Phone Number (Daytime contact)required
 -  - 
This number will be used for daily school communication (attendance, belongings, student matters). Please enter a number where you can be reached during the day.
P1/ Email Address (Primary)required
This will be your main contact, login ID for the Parent Portal, and the address for invoices.

Re-enter for Confirmation
Would you like to receive arrival/departure notifications at this address?
P1/ Email Address (Secondary)

Re-enter for Confirmation
Receive pick-up/drop-off notifications at this address?
P1/ Home Address (if different from student’s address)
〒－ 
都道府県
市区町村
町名番地等
建物名
P1/ Employer/Company Namerequired
Parent/Guardian Information 2 (Optional)
P2/ Full Name (English)
First Name 
Last Name 
P2/ Name in Native Language (if applicable)
P2/ Relationship to Child
P2/ Gender
P2/ Native Language
P2/ Phone Number (Daytime contact)
 -  - 
This number will be used for daily school communication (attendance, belongings, student matters). Please enter a number where you can be reached during the day.
P2/ Email Address (Primary)

Re-enter for Confirmation
Would you like to receive arrival/departure notifications at this address?
P2/ Email Address (Secondary)

Re-enter for Confirmation
Would you like to receive arrival/departure notifications at this address?
P2/ Home Address (if different from student’s address)
〒－ 
都道府県
市区町村
町名番地等
建物名
P2/ Employer/Company Name
Emergency Contact (Optional)

If neither Parent/Guardian 1 nor 2 can be reached in an emergency, please provide an alternate contact.
Emergency/Phone
 -  - 
Emergency/Name
Emergency/Relationship
Sibling Information
Does the child have siblings currently enrolled in our school?required
Sibling/ Program at Our Schoolrequired
Sibling/ Kindergartenrequired
Sibling/ Afterschoolrequired
Sibling/ LTErequired
Sibling/ Graderequired
Sibling/ Name (in English)required
First Name 
Last Name 
Sibling/ Name in Native Language (if applicable)
Sibling’s Current School (Kindergarten / Nursery / Elementary)required
Optional Services

This section is for your current preferences. Official application will be confirmed upon contract.
Daycare Packrequired
Preferred Daycare Packagerequired
Transportation Servicerequired
Preferred Bus Servicerequired
Please select your preferred bus stoprequired
Campus Preference
Application Preferencerequired
About the Student
Normal Body Temperaturerequired
 ℃  
Does your child take any regular medication?required
Name of Medicationrequired
Frequency / Dosagerequired
Does your child have any allergies?required
Type of allergies (Check all that apply)required
Other Allergies / Food Restrictionsrequired
If your child requires any accommodations at school due to allergies, please describe them.required
Our school may provide snacks and use various materials in class. Please let us know of any precautions, even minor ones, or foods that should not be given to your child.
Does your child have any chronic medical conditions?required
Type of chronic medical conditions (Check all that apply)required
Other chronic medical conditionsrequired
If your child requires any accommodations at school due to a chronic condition, please describe themrequired
Questions / Comments
Agreement & Consent
Parent/Guardian Name (Signature)required
By signing below, I agree to the terms outlined in the Privacy Policy regarding the handling of personal information.
First Name 
Last Name 
Handling of Personal Information (Privacy Policy)

Tokyo International School Group Co., Ltd. Administration Office (hereinafter the “Administration Office”) collects and uses personal information from customers (hereinafter “Customers”) interested in the Tokyo International School After-School business and related services (hereinafter the “Services”). The following explains how such information is handled.

1. Definition of Personal Information
For this Privacy Policy, “Personal Information” means information about Customers as defined in Article 2, Paragraph 1 of the Act on the Protection of Personal Information of Japan, including:
(1) Information for Service registration, such as name, address, date of birth, telephone number, email address, login ID, etc.
(2)Information from inquiries with the Administration Office by email, phone, fax, letters, etc., and related responses.

2. Purpose of Use of Personal Information
The Administration Office uses Personal Information for the following:
(1) To provide the Services.
(2) To send information and notices.
(3) To respond to inquiries.
(4) To develop new services and improve existing ones.
(5) To provide information on seminars, exhibitions, and new products.
(6) To distribute educational and PR materials, and other related information.
(7) For joint use as described in Section 3.

3. Provision of Personal Information to Third Parties
Except as described in Section 3 and in the cases below, the Administration Office will not provide Personal Information to third parties:
(1) With prior consent.
(2) When required by law.
(3) When necessary to protect life, health, or property of the individual or public.
(4) When necessary for business, such as entrusting tasks to partners, contractors, or professionals (attorneys, tax accountants, certified public accountants, etc.).
(5) When disclosure is ordered by a court or government authority.
(6) When business succession occurs due to merger, transfer, or other reasons.
4. Outsourcing of Personal Information Handling
When outsourcing the handling of Personal Information for the purposes in Section 2, the Administration Office will entrust such work only to cooperating companies (contractors) that meet its selection standards. The Administration Office will set handling rules, provide proper guidance and supervision, enter into agreements on outsourced services, and ensure appropriate confidentiality management.

5. Disclosure, Correction, Deletion, etc. of Personal Information
If the individual subject of Personal Information requests disclosure, correction, suspension of use, or deletion in accordance with law, the Administration Office will verify identity and respond. Requests must be made using the form prescribed by the Administration Office.

6. Contact Information
For questions regarding the handling of Personal Information, please contact:

Operating Company: Tokyo International School Group Co., Ltd.
Ichigo Meguro Building 6F, 2-20-28 Shimomeguro, Meguro-ku, Tokyo, Japan
Personal Information Protection Manager: Ryo Tsuboya
TEL: 03-6421-7110