Materials Request Form

Thank you for your interest in Hakuho Girls’ High School.
If you would like to receive our school brochure, course guides, application information, or other printed materials, please fill out the form below.
Materials will be sent to the mailing address you provide, free of charge.

Fields marked with an asterisk are required

• Name (Name) — Please enter the full name of the student or guardian requesting materials.
• Furigana (Furigana) — Phonetic reading in Japanese katakana. May be left blank if entering in English.
• Email Address (Email address) — For confirmation of your request.
• Phone Number (Phone number) — Optional.
• Postal Code (Postal code) — Please enter your postal / ZIP code.
• Prefecture / State (Prefecture) — Please select or enter your prefecture, state, or region.
• Address (Address) — Please enter your full mailing address where we should send the materials.
• Materials Requested (Requested materials) — Please select which brochure(s) you would like to receive.
• Grade / Year of Applicant — If the request is for a prospective student, please indicate the applicant’s current grade.

Please note: The form below is displayed in Japanese. If you require assistance filling out any fields, please contact us via the Contact form. Materials sent overseas may take additional time to arrive depending on the destination.