Registration Form ※mark is a required item. Name※ Gender※ MaleFemale Birthday※ Month: 010203040506070809101112 - Date: 01020304050607080910111213141516171819202122232425262728293031 - Year: Course※ EEP1EEP2ESLESL Lite AESL Lite BBusinessIELTSJr. ESLJr. IELTS Room type※ Lower Studio Type SingleUpper Studio Type SingleLower Premium Studio Type SingleLower Premium Studio Type Twin ShareUpper Premium Studio Type SingleUpper Premium Studio Type Twin ShareShare Type Single with windowShare Type SingleShare Type Twin ShareCondo Type Semi-Single Start date※ Duration※ weeks Meal type※ With mealsNo meal Email※ Other request I submit with the above contents. (* Confirmation screen before sending is not displayed.)