Summer SchoolinGUAM2027お申し込み

お子さまの引率に関する委任状

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To Whom It May Concern,

My son or daughter is traveling to the USA to participate in Summer School in GUAM.

I hereby authorize Taka Tsunekawa, Nao Geisler, Maya Mizushima and Anna Geisler to accompany, supervise, and take responsibility for my son/daughter (Child Name/お子さま名) during this trip.

Sincerely,

Parent Name /保護者名

Signature /サイン

Address /住所

Date /サイン日