Donguri Kai Fall 2026 Class Registration

Donguri Kai Registration Form

2026 Fall Classes
Please complete one form per child. If you are registering more than one child please complete multiple forms.
Parent Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Student's Name

First NameLast Name
Student's Birthday

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Are you registering a new or returning Donguri Kai Student?
Note: The class levels are based on what grade your student will be going into in Fall 2026. If you have questions about what level your student should be in please reach out to Tomoko Sensei at dongurikai@jasc-chicago.org before registering.

When you select a class level, you’ll be taken to that level’s sign-up page. If you selected the wrong level, ensure all previous selections are cleared to avoid being charged, then use the back button to return and select the correct class.
What Level are you registering your child for?
JASC Newsletter

JASC has a monthly newsletter that highlights the events and news about the community. If you are not already registered, you can read the newsletter and sign up here. If you would like to sign up, scroll down to the bottom of the page and fill in your infromation under the box that says Subscribe to our newsletter.

Become a Member

JASC members pay an annual fee for benefits like discounted rates on classes and programs. A family membership includes 2 adults and all children under 18 for $115. Memberships are good for one year. If your membership has expired or is expiring within the month upon your registration, we will reach out to you to update your membership. Your membership must be active throughout the session. If you are not a member and would like to get the member price, join and pay at jasc-chicago.org/become-a-member before registering.

*You must have a valid membership in order to recieve the membership benefits. If your membership expires in the middle of the semester, you will need to renew right away during the session. If you pay membership prices and do not have a valid membership, you will be contacted by a member of JASC staff.
Are you a JASC member?
The grade requirement for Donguri Kai classes is at minimum Kindergarten of the school year 2026 - 2027. If you have questions please direct them to Tomoko Sensei at dongurikai@jasc-chicago.org.

Photo Release & Payment
Photo Release Waiver
I hereby authorize Japanese American Service Committee ("JASC") and its representatives to use, print, publish, or display a picture and/or use my name for public relations or other purposes to benefit the JASC and its program. I have read and understand this consent form.
Authorized Representative's Name

First NameLast Name
Authorized Representative's relationship to child being registered
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Class Fee Sum Total
Note: Your total should be the cost of one class. If your total is more or less than the cost of one class please go back in the form and clear all selections and ensure that only your desired class is selected.
Additional Donation
Please consider helping cover the cost of processing fees by donating $5 or more.

Your Class Fee Total

USDDescription

Debit or Credit Card
Credit Card Number	Security Code
Expiration Month	Expiration Year

Fill in your payment information below. Click the green Submit button to complete your registration.

You should receive a confirmation from noreply@jotforms.com with a copy of your registration information.

If you don't receive a confirmation email, please contact Ellie Campbell at the JASC (ecampbell@jasc-chicago.org)
Should be Empty:

Donguri Kai Registration Form

Little Kids Classes

Big Kids Classes

Youth Classes

Photo Release & Payment

Photo Release Waiver

Your Class Fee Total