Summer Camp 2009 Registration Form
Registration begins on March 25, 2009!

Please make sure to fill out all the items
(if no information is available, please write N/A)

 

Part I. Camper's Information

Camper's Name:
日本語名：
Nickname:
Gender:  Boy  Girl
Birthday (mm/dd/yyyy):
Age (as of first day of camp) :
Current Japanese School: (select all that apply)