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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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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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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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