Adult Evening Language Courses
Todays Date:
Student's Name:
Address:
Home Telephone:
Work Telephone:
Cell Phone:
Email address:
Emergency contact information:
Name:
Phone Number:
Is this your first time taking an SJLS course?
Please indicate which class level you, the student will enroll in. (For level descriptions, click here.)
Start Date (MM/DD/YY):
How did you hear about us?
Tuition for one session (8 once-a-week classes) is $120.
payable to Nikkei Heritage Association in person at JLS office.
Seattle Japanese Language School