| Name as representative＊ |
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| Sex＊ |
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| Age＊ |
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
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| School name / Organization name |
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| Staying plan＊ |
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| Stay days＊ |
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| Transportation to the Nohaku＊ |
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| Number of people＊ |
*If you are over 30 people, please contact us in the contact form.
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| companion1＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
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| companion2＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
|
| companion3＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
|
| companion4＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
|
| companion5＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
|
| companion6＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
|
| companion7＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
|
| companion8＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
|
| companion9＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
|
| companion10＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
|
| companion11＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
|
| companion12＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
|
| companion13＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
|
| companion14＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
|
| companion15＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
|
| companion16＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
|
| companion17＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
|
| companion18＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
|
| companion19＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
|
| companion20＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
|
| companion21＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
|
| companion22＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
|
| companion23＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
|
| companion24＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
|
| companion25＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
|
| companion26＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
|
| companion27＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
|
| companion28＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
|
| companion29＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
|
| companion30＊ |
- Name
- Sex
- Age
*Please enter the age at departure date. It will be necessary to arrange air ticket and insurance.
*If the child is 6 or 12 years old, please indicate whether they are in elementary school or not in the “special notes” column below.
*For pre-elementary school children, please let us know whether they will sleep in the same “futon” or another “futon” as their parents in the special notes column.
- Special Notes (ex. allergies)
|
| Passport Number＊ |
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| Phone number＊ |
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| E-mail＊ |
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| Address＊ |
- Address:
- Country:
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| Desired activities＊ |
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| Remarks column |
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| payment options＊ |
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| Questionnaire |
Q1. Where did you Know about the Tsushima Green-Blue Tourism Association?
Q2. What kind of search word did you use when you found our association by internet search?
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