留学説明会はコチラ
JP
EN
IMPRESSARIO
バレエ留学入会申込みフォーム
Ballet Study Abroad Membership Application Form
Full Name
Full Name in Furigana
Full Name in Romaji
Email
Postal code
Home Address
Phone number
Date of Birth
Age
9
25
Gender
School name
School Grade
Height
120
190
Weight
30
60
Ballet studio name
Studio director / head teacher's name
Russian level
English level
Previous study abroad experience
If yes: country, city, and ballet academy name
今回お申込みの際の希望のアカデミー
Preferred academy for this application
Parent's name
Parent's name in Furigana
Parent's name in Romaji
Parent's phone number
Emergency phone number
Parent's email address
Emergency email address
Father's employer / workplace
Father's occupation
Mother's employer / workplace
Mother's occupation
Name of bank for remittance (Romaji)
Account number for remittance
Account holder name for remittance (Romaji)
プライバシーポリシー　
https://impressario.world/privacy-policy