Taiyo Inquiry form — Yamada Juku

We take data privacy very seriously, and any data collected is solely used for the said purpose.

Name of parent

First Name

Last Name

Name of the child

First Name

Last Name

Nationality of the child

Native language of the child

Academic Year

Please choose the academic year in which your child wishes to enroll.

Program

Email

Phone

(###)

###

####

Message

Please write here if you have any particular questions or concerns you wish to know.

Would you like to visit us?

Yes

No. Emails will do.