Enrollment Registration | Pikake School

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Pikake School

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ENROLLMENT REGISTRATION FORM

Child's First name*

Child's Last name*

Birth Date*

Gender*

Student Status*

Requested Start Date*

List any known allergies

First and Last Name in Hiragana (if applicable)

Multi-line address

国／地域*

番地*

市区町村*

郵便番号（要ハイフン）*

プライバシーポリシー

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