LIVES TOKYO 2018参加お申し込み(参加費無料)/ Registration (Participation is Free!)
*マークの付く項目は必ずご記入ください / Please be sure to fill out items marked with *
Email address *
お名前 / Name *
Your answer
年代 / Age
所属 / Affiliation *
Required
障がい者・難病患者当事者ですか? / Do you have disabilities or rare disease? *
Required
必要なサポートはありますか? / Do you need any support?
同行者のお名前(ヘルパー等)/ Name of accompanying person (helper etc.)
Your answer
昨年のLIVES TOKYOに参加されましたか? / Did you participate in LIVES TOKYO last year?  *
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