Trial Lesson Entry Form

Application by phone

Hours／Weekday12:00～21:00 Saturdays and Sundays11:00～21:00

  • Harajuku School
  • 0120－155－016

Applications from mail form

Fill, please send the following items.
※Mark because it is mandatory, Please input.

Free trial※
Preferred date
Free Trial
Preferred date
Time
※ Sometimes, due to schedule me, day and time you would like to ask for the change.
History of music Year
Remarks
(eg, questions)
Your child's Name※
Guardian Name※
Address
Postal code
State
Address-municipal
Building name
Mobile Number※ (guardian)
Home number
E-mail※
Sex※ Man Woman
Date of birth
Age※
Grade※younger or more
sets are eligible
Contact Hope Mobile Number Home Number E-mail
Desired time zone
contact
In the morning 10:00～12:00 Afternoon 12:00～15:00
Evening 15:00～18:00 Night 18:00～21:00
The school here
I had opportunity
to know

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please wait and press the confirmation button only once.
(Do not send information at this point.)

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