|Aapplicatio form for Admission||Ateria Flore|
|Please If you are applying for by FAX, print out this page, fill out the necessary information send we will contact you later.
|Furigana||Date of birth|
|Name|| ・ ・
If you do not mind, please fill it out
|Sex||man ・ woman||✓ Please do it|
|Phone||－ －||Mobile phone － －|
✓ Please do it
|Hope day||( Tues ) ・ ( Thurs ) ・ ( Sat )||It is possible to transfer it.|
|Experience of arrangement||Beginner ・ Experiennce ・ Ikebana||✓ Please do it|
|Trial lesson||Hope ・ Not hope||✓ Please do it|
|About the handling of the personal information
1 We will use your private information,either whole or part,only for the purposes as follow.
・To send the material inquired.
・To fill the formalities for the course.
･To contact new courses and the gidance of events
2 Without pre-consentfrom you, we shall not use your private informations out of the purpose allowed or beyond that original intention.
3 Your private information is not let out unless the case may be anyone of the followings.
・Your partly agrees wiyh it.
・Disclosure of the said information is legally required.