グループツアー申し込みフォーム - Group Tour Application Form
下記必要事項をすべてご記入ください。
ツアーを構成するにあたってご連絡差し上げることがございます。

Please fill in all the required field to complete the application.
We may contact you by e-mail to arrange the tour.

Email address *
[確認用]メールアドレス/E-mail address for confirmation *
Your answer
希望日時をお選びください - Please choose your preferred date. *
見学希望の理由についてお聞かせください - Reason for School Tour *
Your answer
どこで本校について知りましたか - How did you know about AMICUS? *
Your answer
氏名 - Your full name *
For Japanese names, please write in Kanji. For foreign names, please write in English.
Your answer
フリガナ - Your full name in katakana *
For foreign names, please type the translation of the name in katakana if you can. If you do not know, just put "none".
Your answer
携帯番号 - Mobile phone number 000-0000-0000 *
Your answer
お子様のお名前 - Child's name
For Japanese names, please write in Kanji. For foreign names, please write in English.
Your answer
お子様のお名前(フリガナ) - Child's name in katakana
For foreign names, please type the transliteration of the name in Katakana if you can. If you do not know, just input "none".
Your answer
お子様の生年月日 - Child's Date of Birth *
MM
/
DD
/
YYYY
現在お住まいの都道府県・地域 - Your resident area *
Your answer
入学希望学年 - Grade you wish to apply for: *
訪問予定者の人数 - Tentative number of visitors *
特にご覧になりたいポイント - Specific area(s) you would like to see (if there is any)
Your answer
ツアーの言語 - Language in the tour *
Required
A copy of your responses will be emailed to the address you provided.
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