Application Form

    Available Programs

    4/25(Sun) 🍽Cooking Club Vol.275/1(Sat) ⛺Camping Club Vol.66/20(Sun) 🍽Cooking Club Vol.289/19(Sun) ⛺Camping Club Vol.710/24(Sun) 🍽Cooking Club Vol.2911/20(Sat) ⛺Camping Club Vol.812/12(Sun) 🍽Cooking Club Vol.30

    沖縄ビーチクリーンアップクラブFor Beach Cleanup Club

    Child's Information

    Name

    Birthdate

        

    Age

    Gender

    BoyGirl

    Important information (Allergy, Medical history, etc.)


    Parent Information

    Name

    Phone Number

    E-mail

    How did you find us?

    FacebookTwitterLineGoogle SearchReferred by a friendFlyerPassed our locationOther

    Does your child need a ride from Churakids? (*This option is only for the Camping Club)

    Don’t NeedYes, Round TripYes, Only to the campsiteYes, Only need a ride back

    Remarks

    Payment method

    Credit Card (PayPal)Bank Transfer (Japanese bank only)

    * Bank Transfer is only available for Japanese bank accounts.
    * Limited space available. Enrollment is not guaranteed. Preference is given to early applications.
    * First, we will send you an e-mail for the method of payment & fee amount. Then, we will send you an Application Confirmation e-mail.

    Terms of agreement

    • Transportation will not be provided. Parents are responsible for picking up & dropping off children at designated venue.
    • We will be informing you which personal items we recommend you to bringing for the activity. Please note that we cannot assume responsibility for loss, damage, theft of personal items brought to the activities.
    • We do our absolute best to take care of our students during our activities, but unfortunately sometimes accidents do occur. We cannot assume legal responsibility for such incidents. Please also be sure to inform us of any medical conditions your child may have, such as asthma, allergies.
    • Please be advised that photographs/videos taken at the event may be used on our website, flyers, ads, etc.
    • Please understand that we cannot issue refunds for cancellations.

     

    I agree