Afterschool Contact Form

What is your inquiry regarding *Required	Open School (Weekdays from 5pm)Other Inquiries
Parent/Guardian's name *Required
Child's first name *Required
Child's last name *Required
Child's Gender *Required	MaleFemale
Child's Birth Date *Required
Child's current school grade *Required	e.g. 5 year old class, grade 1
Which preschool (kindergarten) did [is] your child go [going]?
Which elementary school is your child going? (or your plan) *Required
Home Country or Nationality of Family Members *Required
Your Phone Number *Required
Your E-mail Address *Required
Your Postal Address *Required
Date of Enrollment You Consider
Course	Please answer this question as a tentative plan.
How did you find out about CGK? *Required
Is this your first time contacting CGK? *Required	YesNo
Child's English Learning Experience	*We will conduct an English proficiency check interview prior to enrollment in the after-school program, and only successful candidates will be eligible for enrollment.
Your Child's Plan After Graduating an Elementary School	Please let us know if you have any plans such as "planning to go on to public junior high school" or "planning to move overseas in junior high school".
Are you interested in enrolling in CGK Elementary School? * For those who are not currently a CGK Elementary student
Details of Your Inquiry	For open school, please let us know your schedule preference.

Child's first name *Required
Child's last name *Required
Child's Gender *Required	MaleFemale
Child's Birth Date *Required
Child's current school grade *Required	e.g. 5 year old class, grade 1
Which preschool (kindergarten) did [is] your child go [going]?
Which elementary school is your child going? (or your plan) *Required
Child's Nationality *Required	Please indicate all nationalities held.
Parent/Guardian 1's name *Required
Parent/Guardian 1's nationality *Required
Parent/Guardian 2's name *Required if applicable
Parent/Guardian 2's nationality *Required if applicable
Your Phone Number *Required
Your E-mail Address *Required
Your Postal Address *Required
Date of Enrollment You Consider *Required
Course *Required	5 days a week4 days a week3 days a week2 days a week
Days *Required	MondayTuesdayWednesdayThursdayFridayAny day is okayOther If other, please provide details in the comments field.
Child's Allergies *Required if applicable
Bus Service (From Elementary School, etc. to CGK) *Required	YesNoOther Can be picked up at only eligible facilities (e.g. elementary schools). Click here for more details.
How did you know of CGK? *Required
Child's English Learning Experience	Please fill in the details as it will be used as a reference for admission selection.
Your Child's Plan After Graduating an Elementary School	Please let us know if you have any plans such as "planning to go on to public junior high school" or "planning to move overseas in junior high school".
Are you interested in enrolling in CGK Elementary School? * For those who are not currently a CGK Elementary student
Comments

Bashamichi Campus
(Age 2 - Age 3)

Kannai Campus
(Age 4 - Grade 12)

Before Submission

Telephone Inquiries