Saturday language class registration form
Every Saturday; 9-11:30 a.m.

Todays Date:

Student's Name:

Date of Birth:

School's name and grade:

Parent/Guardian 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 the student will enroll in. (For course descriptions, click here.)






How did you hear about us?



*Payment information: If this is your first time registering, there is a one time only registration fee of $25.00.
Tuition for one quarter is $195 for one student, $380 for two students, and $555 for three students, due by the first day of each quarter.

We accept payments written to the Nikkei Heritage Association of Washington in person at JLS, by mail to JLS 1414 S. Weller Seattle, WA 98144, or online.

* * There is also a one quarter tuition waiver offered to
families who successfully recruit a new student who
stays for a minimum of one quarter. The entering
student must notify the school at the time of
registration. Only one waiver permitted per family.
Seattle Japanese Language School
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