| *FULL Name in Eng |
Please write your FULL name in Alphabet
※ アルファベットでフルネームをご記載ください
ex) Jack Johnson
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| なまえ in JPN（日本語） |
Please write down your FULL name with JAPANESE if you can.
※ 日本語で名前を入力ください
ex) ジャック ジョンソン
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| *Sex 性別 |
※ 性別を選択ください
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| *Nationality 国籍 |
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| *Category 専門区分 |
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| *E-mail メールアドレス |
※ メールアドレスをご記入ください（連絡用)
we will send information and details of the camp which you applied.
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| *Cell phone 携帯電話 |
--
If you don't have your cellphone,you can't join our camp. The phone number which you can't receive our call is not acceptable.
※ 携帯電話をご記入ください（または連絡用電話番号）
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| *Birthday 誕生日 |
YEAR / MONTH / DAY
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| *Blood type 血液型 |
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| *Date of Camps |
★Please check your schedule once again,choose the date you can join FOR SURE.
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| *Address line 1 |
ex)大田区花町１−１−１ １０１号室
please fill out in Japanese(if you cannot, fill out in English)
日本語で入力ください
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| Address line 2 |
何も入力しないでください
Please DO NOT fill out
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| *City 市町村 |
ex) さいたま市
※ 市区町村
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| *ZIP 郵便番号 |
ex)1300015
※郵便番号
※Please don't use "-".
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| *State/Province/Region |
ex) Saitama-ken
※ 都道府県を入力
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| *Country (Adress) |
ex) Japan
※ 国名（住所）
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| Occupation |
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| *Afflication 所属 |
Those who are a student write your school's name.
Those who are a worker write your company name.
Ex)XYZ university
※ 学生さんは所属の学校の名前、社会人の方は会社名・組織名などをご記入ください。
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| *JPN Level 日本語レベル |
About your Japanese Level of speaking and Listening.
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| * ENG level 英語レベル |
※ 英語のレベルをご記入ください。
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| *food allergy 食物アレルギー |
Is there any foods or beverages that you cannot take because of your religion, creed, health or any other reasons?
※ 食物アレルギー または 宗教上の理由で食べられないもの
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| *food restriction |
避ける食べ物をお選びください。
その他をお選びの方は次のfood restrictions 2の欄にご記入ください
please check your food restrictions which you cannot eat below.
※if you choose "other" please fill in the the next box(food restrictions 2)
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| food restrictions 2 食事制限 |
If you have any food restrictions, please tell us about the details?
Please let us know if you have religious reasons
(Example: Halal)
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| Public bathhouse 公共のお風呂 |
If you have any reason you cannot take the Public bathhouse, please check this.
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| *Times to join "Bousai camp" |
How many times did you join our "Bousai camp for kids"
※ 防災キャンプの参加回数をご記入ください。
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| *Times to join "English camp" |
International and English Camp by The Recovery Assistance Center of MIYAGI
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| *about this event |
How did you find this event?
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| Remarks 備考 |
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| *Certification 確認 |
If there is no problem with your final confirmation of the bellow, please click "送信" after you click check
It could take for a while until your form will be sent after you click "送信". Click "送信" just once. If you click more than twice, your application will be duplicated.
＜Final Conformation＞
■Important!!
(1)You must be able to join the camp for sure.
(2)You must have both an email address and a phone number which we can contact to you directly.
(3)You just need to pay the transportation fee from your house to meeting place.
(4)You need to join as a volunteer.
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