DIS After School Application

2026 - 2027

After School Programs Application Form

For Grads & Teens Classes

We are looking forward to our new school year! In preparation, please complete and submit your application form below.

Notes:

  • Items with an asterisk * are required.
  • For items with no asterisk:  Only fill in if there have been personal changes (e.g., address, telephone number).
  • Assignment of weekdays is in accordance with our capability. There is no “After School Survey” this year.
  • Some grades have 3 available weekdays. However, the maximum days of weekly attendance per student is two.
  • If fewer than 3 students enroll in a class, the class may need to be combined with an adjacent grade or canceled.
  • For Elementary Grades 1~5:  Enrollment is dependent on a yearly LAS Links test result. The test will be conducted in January and February. Information about the test will be sent home beforehand. You may submit this enrollment form prior to receiving the test result.
  • For Elementary Grades 1 & 2:  If enrolling in GRADS+CARE, please fill out the GRADS+CARE enrollment form rather than this form.
Step 1 of 2

Student Information | お子さまについて

For 2026-2027 school year
Child's Name | 名前 (ローマ字)
Enrollment Choice | お申込みクラス
Information regarding medical conditions, illnesses, hospitalizations, allergies, physical limitations, learning challenges, etc. 病歴、アレルギー、身体的障害等、など。
Home Address | 住所

Primary School | 現在通っている園

Parent/Guardian Information | 保護者様について

Email | メールアドレス

Additional Parent/Guardian Information | 他の保護者様について

Parent/Guardian Name | 保護者氏名 (ローマ字)

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