生徒氏名　Name *

First Name

Last Name

他にご兄弟・ご姉妹が受講している場合はご記入ください。Please indicate if you have any other kids are attending sessions

First Name

Last Name

休塾期間中の受講形式を下記よりお選びください。Please select your preferred attendance style during the suspension period from the options below. *

オンライン授業での受講の継続を希望します。I would like to continue attending classes through online lessons.

対面での授業再開まで受講の継続を保留にします。I will put my attendance on hold until in-person classes resume.

退塾手続きをし、連絡先、登録情報の削除し、除籍を希望します。I would like to initiate the withdrawal process, including the removal of contact details and registration information, and have my child's enrollment canceled