Page 1 of 4

Schaumburg Oyanokai Membership

2025-26 School Year

Schaumburg Oyanokai invites you to become a member! Annual membership fee per family: $5 If you have any questions, please contact 

Jon Herrity (President): jon@schaumburgoyanokai.com 
(日本語でどうぞ）

Parent/Guardian（保護者）

First Name / 名
Last Name / 姓
Phone Number（電話番号）
Email（メールアドレス）

Member Type

Student Information

Student #1 Name（生徒氏名）

Student #1 Grade（学年）

Student #1 - Teacher Name/Room#（担任名/クラス番号)

Do you have additional students in the dual-language program?

Payment Information

You can pay your membership fee by credit card, check, or cash. Further instructions will be provided after you complete this form.

Note: A small convenience fee is included for credit card payments.

Payment Method