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Tell me a little about yourself. ell me a little about yourself. Fill in the form below to indicate whether you are interested in Online Lessons (please indicate your location) or In-Person Lessons anything else you feel may be relevant to your sessions. Once your form has been submitted you will receive a response from Nami with in a few days. Thank you for your interest in Japanese language classes with Ohara Consulting.

(* This entry form has a little problem. If you will not receive any response from me within 2 days, please email me using the e-mail address, "ohara.nami(at)gmail.com". Thanks for your cooperation. )

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Student Name *

First

Last

Guardian Name (if applicable) *

First

Last

Contact Email *

Subject *

What is your purpose of learning Japanese? *

Lessons *

Online Lessons In-Person Lessons Other (write your request in the comment column)

In-Person Lessons *

Weekly scheduled lessons Irregularly scheduled lessons Mini class for elementary school age Japanese language travel package: private Japanese language travel package: two - three person group Other N/A (not applicable)

When would you like to take a lesson? *

Have you studied Japanese? *

Yes No Other

How long have you learned Japanese? (if applicable) *

How/ where did you learn Japanese? (if applicable) *

Which textbook/ apps/others did you use to learn Japanese? (if applicable) *

【Comment Column】　　　　　　　　　　　　　　　　　Question and Requests / Anything else the instructor should know (allergies, diets, medical concerns...) *

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