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CTEEN JR. REGISTRATION

For students Grade 7- 9
Child's Name*
First NameLast Name
Birth Date*
MonthDayYear
Child's Email*
Child's Mobile Number*
Parents Information
Father's Name
First NameLast Name
Father Cell*
Area CodePhone Number
Mother's Name
First NameLast Name
Mother Cell*
Area CodePhone Number
Payment Options

Payment for the full year: ¥2400

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Postal / Zip Code

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CTEEN JR. REGISTRATION

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