YIK／Contact Us If you have a question you would like answered or if you would like a pamphlet, please fill out the form below. ※Required fields Japanese ／ English Guardian's name (※) Child's name (※) Child's date of birth (※) year201320142015201620172018201920202021202220232024202520262027202820292030 / month123456789101112 / day12345678910111213141516171819202122232425262728293031 E-mail address (※) Zip-code(※) Address(※) Telephone number(※) Would like a pamphlet(※) YESNO Coment Δ
