Move to the text

Application for open campus

The name ※required
Furigana ※required
(Katakana)
Zip code ※required
The metropolis and districts ※required
Municipality ※required
Chome address ※required
Phone number (half size) ※required
(Half-width alphanumeric)
Mail (half size) ※required


Sex
During the attendance at school or graduation school name
Type of the school
School name
Department name
Subject name

※In the case of a high school, I fill in (the full time school system, part-time schooling system, communication system)
/leaving school in midcourse (anticipate) that is a graduate
Graduation/leaving school in midcourse (anticipate) year
Year (the Christian era)
/leaving school in midcourse (anticipate) that is a graduate
Club activities calendar at school
Club activities at school
Career
Year
Please choose the course to hope for.
100 sports health subject (2-year man and woman) capacity
20 child sports subject (3-year man and woman) capacity
Course to hope for ※required
Hope of lunch ※required
I can try the meal of the restaurant in a lunch format. (free)
The number of the necessary meals (only as for the person whom I was able to tell ※ meal, "I hope")
When you wish to participate with the friend and protector, please fill in the full name of the companion.
Companion full name
Companion full name
A question or question
A question or question
0
1
3
4
3
6
Back to TOP