RSVP 1 — World Language Academy

Book a FREE Trial Lesson

Fill out the form below to book a free trial lesson for you or your child. Each lesson is 30 minutes long. There is about 15-minutes of explanation time after the lesson. We propose trial lessons from Tuesday to Friday between 1pm (13:00) to 7pm (19:00). Other times might be arranged depending on availability, just ask us in the “Additional Requests” section.

We will get back to you shortly with availabilities to arrange an appointment.

Submission Form

#1 Student's Name (Kanji)

First Name

Last Name

#1 Student's Name (Romaji)

First Name

Last Name

#1 Birthday

YYYY

#1 Grade

#1 Gender

Male

Female

Has student #1 studied English before?

(not including at school)

Details of English experience

Where, when and in how long has your child studied English, has he lived abroad, etc.

#2 Student's Name (Kanji)

First Name

Last Name

#2 Student's Name (Romaji)

First Name

Last Name

#2 Birthday

YYYY

#2 Grade

#2 Gender

Male

Female

Has student #2 studied English before?

(not including at school)

Details of English experience

Where, when and in how long has your child studied English, has he lived abroad, etc.

Requested lesson date

Do you have a preferred date for the lesson?

YYYY

Requested lesson Time

Do you have a preferred time for the lesson?

Additonal Requests

Special needs, specific schedule, other questions.

Guardian's Name (Kanji)

(if student is not himself)

First Name

Last Name

Guardian's Name (Romaji)

First Name

Last Name

Phone Number (no dashes)

Address line 1

Address line 2

Ward / City

How did you hear about us?