全日制 普通科 日本ウェルネス長野高等学校
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INFORMATION INQUIRY
Please fill out the required information and click [confirm].
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required information
Name of Student
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Relationship with the student
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Please select
self
father
mother
siblings
teacher/school
others
Sex
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Male
Female
Date of Birth
MMDDYYYY
Age
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Grade
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seventh grade
eighth grade
ninth grade
tenth grade
eleventh grade
twelfth grade
dropouts
adults
others
Postal Code
Address
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Ex) 1-12-19 Narimasu, Itabashi-ku, Tokyo
Address 2
Name of apt/# if any
Phone #
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Email address
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Department
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General Education Department
Specialized Sports Department
Sports Department
Global Department
Athletic club
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Soccer
Basketball
Futsal
Badminton
nothing special
Other
How did you hear about us?
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our brochure
school info. Magazine
newspaper/magazine
ads on public transportation
other media
internet
from friends
from teacher
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