Student Given Name　　　　　　Family Name Date of birth 　 Kindergarten Class Kindergarten Class　 ３yrs　Friday Class ３yrs　Wednesday Class ４yrs　Twice a week(Tue・Thu) ４yrs　Once a week(Tue) ５yrs　(Friday) Choose the class Fundamental Class Fundamental Class　 Level 1 Level 2 Level 3 Level 4 Level 5 Level 6 Choose the class Father(Guardian 1）　　Mother(Guardian 2） Address City, Province and Postal Code Contact TEL: 604-　CELL: FAX: 604-　E-MAIL: