| *FULL Name in Eng |
FULL Name in Eng
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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 |
Male / 男性
Female / 女性
Other / その他
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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.
※ 携帯電話番号をご記入ください（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 kindly 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)
日本語で入力してください。
we may send mail, please fill out your full address correctly including your room number
郵便物を送る場合がありますので間違いのないようにお願いします。
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| Address line 2 |
こちらには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
※ 都道府県を入力します。
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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.
※ 日本語のレベルをご記入ください。
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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 |
食べもので何を避けるかを下記からお選びください。
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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| *English camp |
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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