1.Student Information

EmailRequired

If the student has their own email address, please provide it. If not, please enter the same address as the parent/guardian. ※Please register an email address that is not a carrier email address.

OccupationRequired

Student Other

Date of Birth

AgeRequired

Grade

GenderRequired

Male Female

Residential AreaRequired

Japan Overseas

PrefectureRequired

Please select from the following Hokkaido Aomori Iwate Miyagi Akita Yamagata Fukushima Ibaraki Tochigo Gunma Saitama Chiba Tokyo Kanagawa Niigata Toyama Ishikawa Fukui Yamanashi Nagano Gifu Shizuoka Aichi Mie Shiga Kyoto Osaka Hyogo Nara Wakayama Tottori Shimane Okayama Hiroshima Yamaguchi Tokushima Kagawa Ehime Kochi Fukuoka Saga Nagasaki Kumamoto Oita Miyazaki Kagoshima Okinawa

Country nameRequired

2.Parent/guardian information

Full nameRequired

Relationship with the studentRequired

Mother Father Other

If you selected "Other" for the relationship with the student, please specify the relationship

EmailRequired

※Please register an email address that is not a carrier email address.

Contact (phone number)Required

Have you attended a school information session? Required

Already attended Already applied for a scheduled attendance Not planning to attend yet

Student's current English levelRequired

Please select from the following Inexperienced Begginer（Equivalent to Eiken Grade 5-3） CEFR A2（Equivalent to Eiken Grade Pre 2） CEFR B1（Equivalent to Eiken Grade 2） CEFR B2（Equivalent to Eiken Grade Pre 1） Furthermore

Student's ageRequired

Time to consider enrollmentRequired

Please select from the following As soon as possible Within two months Or later

3.Requests for a trial lesson

The trial lesson is scheduled for one session. The purpose is to experience what the actual class will be like. Subjects are scheduled for Wed 8:30 p.m. (CEFR A1) ， Fri 7:50 p.m.(Science) and Fri 8:30 p.m.(English).

Please select the content you wish to take for the free trialRequired

Nisai (Cambridge Program) Nisai (Cambridge Program) + Units of Sound Units of Sound only I want to decide after consulting with the staff

※To ensure a more comfortable experience for the Nisai (Cambridge Program) trial lesson, we will conduct a connection test before the trial. ■Connection Test: Every Thursday or Friday ■It is okay if only the guardian participates in the connection test. ■Please participate using the device that will be used in the trial lesson.

Please select the date and time you would like to have a free trial class (taster session).Required ※Free trial classes are offered every Friday. Each lesson lasts 30 minutes, and a Nisai teacher will conduct a simple activity.

Please select from the following Wed，12th Feb，8:30 p.m. CEFR A1 English Fri，14th　Feb，7:50 p.m. NS1 Science Fri，14th　Feb，8:30 p.m. NS1 English

If you have any other questions, please write them down below.