Cheerful kids Application / Question Form

Please input the form below and then press [ 確 認 ] button.
You can contact us directly without this form.
Email: cheerfulkids555☆gmail.com
*Please change "☆" to "@".

Name
E-mail
Adress
Tel
Age of kids Mom only
Age-0 baby
Age-0 baby (Crawling)
Age-0 baby (Tootsy)
Age-1
Age-2
Age-3
Age-4
Age-5
Age-6 (kindergarten)
Age-7 and up (Elementary student)
Lesson and/or Therapy RhythmEnglish(Crawling Baby)
English Eurythmics (pre kindergarten)
English Eurythmics (kindergarten)
English Conversation (elementary student)
Polynesian Exercise
Soft-Yoga
Hand-sewing
Ukulele
Color Therapy
Chakra Therapy
Inner Child Healing
Card Leading
PC training
Others(Please input the "Remark")
Remarks
Information and/or Inquiry content


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