Summer Program Application


Enrollment Eligibility

Admission to the NIS Summer Program is open to students age 4-12 (entering Preschool 4 through grade 6), who are either:

  1. Currently studying full-time in an international school AND who are not enrolled in the Japanese school system;
  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 Invoice, 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 may apply for one, or both sessions!
  • 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.


NIS now has an official LINE@ account! Friend us HERE to get the latest information!




NIS Summer Program 2021 Application Form


2021 Application for:required


Student Information

First Name
Nickname (optional)
Last Name
Current Schoolrequired
Age Group required

School History

Language of Curriculumrequired
Name of School as of June 2021required
Language of Curriculumrequired
Previous School (only Full Time Schools)
Add School
Spoken English Levelrequired
5=Fluent 3=Communicate with effort 1=Limited
Reason of Application (Please pick all that apply)

Student Health History

1. Is the student currently being treated for a medical condition?required
If YES, 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.)
5. The student has a SEVERE, life threatening allergy diagnosed by a physician.required
If YES, does the condition require medication?required
6. The student has an allergy diagnosed by a physician that is NOT life threatening.required
If YES, 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.)
8. Is the student currently covered by the Japanese Health Insurance Plan? required

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
Parent/Guardian 2
First Name
Last Name


T-shirt Size

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


Lunch Order

The lunch provider can make lunches appropriate for students with allergies to dairy products, eggs, nuts and mayonnaise. Service is NOT available for students with other food allergies, and we apologize for any inconvenience this may cause.
Do you wish to order a "bento lunch" for your child?required
Type of Lunchrequired
Food Allergiesrequired
CAUTION: Lunches are prepared in a facility that is NOT free of the above ingredients.


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。
I confirm that I have read, understand and accept in full the conditions stated in the “Parent Authorization & Consent” and “Photo Consent” above.required
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?required
Have you seen or followed any of our social media below?required


Thank you for your application!


Fun from Previous Years

Program Details

2021 Summer Sessions

  • Session 1: July 26 - 30 9:00 - 15:00
  • Session 2: Aug 2 - 6  9:00 - 15:00

COVID-19 Risk Management Plan

English   Japanese   

Application Deadlines

  • Session 1 & 2: June 25

Application Requirements

Students must be between Preschool 4 and Grade 5/6 (age 4-12) and have a basic understanding of English, sufficient enough to allow them to follow directions safely and participate in the activities with enjoyment. Please see the requirements under "Enrollment Eligibility".

Session Fees

¥35,000 per student, per session (Lunch fees separate)  *Payment includes the popular Summer Program T-shirts!


Tel: 052-736-2025

Apply Online!


NIS now has an official LINE@ account!

Friend us HERE to get the latest information!