Contact Us *Name of Child (お子様のお名前/ふりがな) Name of Child (お子様のお名前/漢字) *Date of Birth (お子様のお誕生日) *Gender (性別) Female 女Male 男 Program(s) of Interest to You (関心のあるプログラム) Discovery Courses プリスクール Preschoolグラッズ Grads (Fluent Elementary Students)サマーコース Summer Coursesその他 Other Parent/Guardian Information (保護者の方の連絡先) *Name (お名前/ひらがな) *Relation to Child (お子様とのご関係) *Email Address (Eメールアドレス) *Confirm Email Address (Eメールアドレスの確認) *Telephone Number (電話番号) Home Address (現住所) *Postal Code (郵便番号) *Prefecture (都道府県) HokkaidoAomoriIwateMiyazakiAkitaYamagataFukushimaIbarakiTochigiGunmaSaitamaChibaTokyoKanagawaNiigataToyamaIshikawaFukuiYamanashiNaganoGifuShizuokaAichiMieShigaKyotoOsakaHyogoNaraWakayamaTottoriShimaneOkayamaHiroshimaYamaguchiTokushimaKagawaAisaiKochiFukuokaSagaNagasakiKumamotoOitaMiyazakiKagoshimaOkinawaOutside Japan *City (市区町村) *Address Line 1 (町域番地−1) Address Line 2 (町域番地−2) How did you learn about us? (当校をどのようにお知りになりましたか?) Comments / Questions (コメント/質問等) Send to Discovery International School Our Mailing Address Discovery International School 2-701 Katahira, Nagakute City Aichi, Japan 480-1146 Email & Phone Email: info@discoveryis.com Phone: 0561-63-1222 Fax: 0561-62-7150