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Summer Program Application


Enrollment Eligibility

Admission to the NIS Summer Program in 2024 will be open to students entering Kindergarten through Gr. 8. Eligible students must be:

  1. Currently studying full-time in an international school AND who are not enrolled in the Japanese school system; or
  2. Japanese returnee students (returned within the last two years); or
  3. Non-Japanese or multi-cultural/multi-national with sufficient English language skills to participate.

Participants for all sessions must submit a completed application form. 


Application Process

  1. Apply online
  2. Confirmation (Acceptance) letter and payment information, or rejection letter will be sent to applicants
  3. More detailed information will be sent to each participant by 1-2 weeks prior to each session
  4. Please pay program fees by payment deadline
  5. If your child is covered by the Japanese Health Insurance Plan, please send the copy of the plan (健康保険証写し)to the Admissions and Development Office
    - 2686 Minamihara, Nakashidami, Moriyama-ku, Nagoya, Japan 463-0002
  6. Applicants may be put on a wait-list, or given conditional acceptance when his/her enrollment eligibility is undetermined


Other Information

  • Students can order lunch as an option, or bring a bag-lunch/bento.
  • Students must bring a thermos full of water or tea. Snacks will be provided.
  • Students must bring change of clothes everyday.


2024 Summer Program Application


Student Information

First Name
Nickname (optional)
Last Name
Gender (or Preferred Gender)
Must contain a date in M/D/YYYY format
Current Schoolrequired
Desired Sessionrequired
Grade Grouprequired

School History

Language of Curriculumrequired
Name of School as of September 2023required
Language of Curriculumrequired
Previous School (only Full Time Schools)
Name of the School (full time, English based)
Add Schoolrequired
Spoken English Levelrequired5=Fluent 3=Communicate with effort 1=Limited
5=Fluent 3=Communicate with effort 1=Limited
Reason of Application (Please pick all that apply)required

Student Health History

1. Is the student currently being treated for a medical condition?required
Does the condition require intervention at school?required
2. Does the student have an ongoing illness, injury or physical challenge (or a past history) that could affect program participation?required
3. Does the student take any prescribe medication on a regular basis?required
4. Does the student have any vision or hearing concern?required(i.e. difficulty seeing. crossed/reddened/watery eyes, uses hearing aid, etc.)
(i.e. difficulty seeing. crossed/reddened/watery eyes, uses hearing aid, etc.)
5. The student has a SEVERE, life threatening allergy diagnosed by a physician.required
Does the condition require medication?required
6. The student has an allergy diagnosed by a physician that is NOT life threatening.required
Does the condition require medication?required
7. Do you have concerns about the physical health of the student?required(eating/sleeping habits, bowel or bladder, teeth, skin, menstruation, weight etc.)
(eating/sleeping habits, bowel or bladder, teeth, skin, menstruation, weight etc.)
8. Is the student currently covered by the Japanese Health Insurance Plan? required(日本の健康保険証をお持ちですか?)

If your family is covered by the Japanese Health Insurance plan, please send the copy of the plan to 

日本の健康保険証をお持ちの場合は、コピーを までお送りください。

Family Information

Parent /Guardian 1 (Primary Contact)required
First Name
Last Name
Primary Contact Phone Number
Primary Email Address
Relationship with the Studentrequired
Parent/Guardian 2
First Name
Last Name
Relationship with the Student

Additional Emergency Contact

First Name
Last Name

T-shirt Size

We can not guarantee, but we will make every effort to match your order.

Lunch Order

Cezars Kitchen provides lunch service for NIS during the school year and will provide lunches for the 2024 Summer Program. Lunch must be purchased for the entire week. Please choose from one of two available sizes - a small size and a large size.
*Cezars Kitchen does not use nuts in any of the lunch recipes.
Do you wish to order lunch for your child?required
Type of Lunchrequired


Parent Authorization & Consent

I verify that the information on these two pages is correct and the student described has permission to participate in all Nagoya International School (NIS) Summer Program activities. I understand that my child is under school supervision but neither NIS nor those in charge shall be held responsible in case of accident.  In the event of illness, injury or accident involving my child, I understand that I will be contacted at the phone numbers listed on this document.  I give permission for NIS staff, administration or designated authorities to provide routine care and over-the-counter medication for my child’s needs.  If I cannot be reached in the event of an emergency, I authorize NIS staff, administration or designated authorities to act on my behalf involving my child, and provide treatment as warranted.  I understand that this form may be photocopied and information may be shared with members of the NIS staff.

Photo Consent: During the NIS Summer Program, photographs of your child participating in the program may be taken by staff of NIS. These photographs will be used for NIS publications, websites and official NIS social media sites (i.e. Facebook, Twitter, Instagram etc.). Student names will not appear online or in any of these publications. We also encourage all parents to post these photos on their own social media sites as well. Parents are asked to be thoughtful when posting images of students on their own social media sites, but we cannot guarantee that student names will be left off those posts. Your authorization to use photos of your child in NIS publications, website and social media, and on other parents’ social media is required for enrollment into the NIS Summer Program.


写真の使用許可: サマープログラムの期間中、NISの職員がお子様の写真を撮ることがあります。これらの写真は、NISの広報物、ウェブサイトおよびNISのソーシャル・メディア(フェイスブック、ツイッター、インスタグラムなど)に掲載させて頂きます。お子様の名前が掲載されることはありません。また、NISは保護者の皆様がこれらの写真をご自身のソーシャル・メディアに投稿して頂くことを推奨させて頂いております。投稿にあたりましては、お名前の表記など十分にご配慮の上ご使用頂きますようお願い申し上げます。保護者の皆様によるこれらの写真のご使用にあたりましては、NISは責任を負いかねますのでご了承下さい。プログラムご参加にあたりましては、NISの上記媒体、および、他の保護者のソーシャル・メディアへのお子様のお写真の掲載をご了解頂くものといたします。
Parent Authorization and Consentrequired
Must contain a date in M/D/YYYY format
Please untick the box if you do NOT wish to receive information about NIS programs
How did you first learn about the NIS Summer Program?requiredPlease select up to 13 choices
Please select up to 13 choices
Have you seen or followed any of our social media below?requiredPlease select up to 6 choices
Please select up to 6 choices

Thank you for your application!