FULL Name in Eng

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

Male / 男性
Female / 女性
Other / その他

Enter an ACTIVE ADRESS that can receive important info & attachments
大切な情報やファイルをお送りします

Please enter your ACTIVE PHONE NUMBER where we can reach you at immediately in case of emergency.*Participation is not possible without a mobile phone.
緊急時にご連絡できる電話番号をご記入ください。

YEAR / MONTH / DAY

★Select camp & station you can attend FOR SURE *If you become unable to attend, contact us ASAP

ex)大田区花町１−１−１　１０１号室
Enter your FULL home address in Japanese, INCULDING the building&room number
*If difficult, English is OK
建物名がある場合は号室も含め、ご自宅住所を全て日本語で入力してください

こちらには何も入力しないでください。
Please DO NOT fill out

ex) さいたま市
※ 市区町村

ex)1300015
※郵便番号
※Please don't use "-".

ex) Saitama-ken
※ 都道府県を入力します。

ex) Japan
※ 国名（住所）

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。

About your Japanese Level of speaking and Listening.
※ 日本語のレベルをご記入ください。

※ 英語のレベルをご記入ください。

▼Please use the link to report any food allergies or dietary restrictions.
▼リンクから、食事アレルギー／食事制限についてご回答ください。

https://docs.google.com/forms/d/e/1FAIpQLSfwrSlSfLICyLGi8W1KR6IJS35RErw5CGtyBNBvZsT6eJ29Ng/viewform?usp=header

If you have any reason you cannot take the Public bathhouse, please check this.

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。

Times to join "English camp"
(International and English Camp by The Recovery Assistance Center of MIYAGI)

How did you find this event?

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.