Information sheet for the participants of Sadogashima (Water Sports) monitor trip

Thank you for joining Sadogashima monitor trip. Please input the required information on the form below.

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* 1. Full name (Alphabet)

Sur name / 姓

First name / 名

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* 2. Full name (katakana)

Sur name / 姓

First name / 名

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* 3. Date of birth - year

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* 4. Date of birth - month

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* 5. Date of birth - date

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* 6. Postal code

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* 7. Address

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* 8. Phone number

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* 9. Do you mind about staying in Japanese style room with Tatami and Futon ?

No problem

Not preferable but acceptable

Not acceptable

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* 10. Do you mind about sharing a room with other people ?

No problem

Not preferable but acceptable

Not acceptable

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* 11. Just in case we attend a public bath (sento) or hot spring (onsen), do you have a tatoo?

Yes, I have.

No, I do not have.

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* 12. Do you mind or have any concerns about using a public bath (sento) or (hot spring) onsen? (NOT gender mixed bath, but only with the same gender)

No problem

Not preferable but acceptable

Not acceptable

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* 13. Do you have any food allergies or is there something you can not eat ?

Meat

Fish

daily

Egg

gluten

Dashi (broth with fish)

non-halal foods

No specific foods I can not eat

Other food restriction(please specify) / 他何か制限がある食べ物

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* 14. Do you drink alcohol ?

No problem

Not preferable but acceptable

Not acceptable

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* 15. Do you have any experience practicing any of the following water sports?

Diving

Snorkeling

Sea Kayaking

Stand up padding

I have no experience doing any of these activities

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※VIPO takes security measures to keep our customers' personal information safe and accurate.

※お知らせいただいた個人情報は、当機構からのご連絡、ご案内やご質問に対する回答として、電子メールや資料の送付に利用いたします。
※当機構は、お預かりした個人情報を適切に管理し、第三者に開示いたしません。
※当機構は、個人情報の正確性及び安全性確保のために、セキュリティに万全の対策を講じています。