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Application for open campus

The name ※required
Furigana ※required
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

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
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
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