入会登録membership registration

please fill in the form.

birthday year month date
please do not forget to select the year
full name
(ex) Mike Edword
full name
(ex) Mike Edword
# please input same as above.
postal code
(ex) 6048845 (input the right code.the address is automatically filled up in Japanes.)
address
(ex) kyoto-shi nakagyoku mibu 2-1-405
tel
(ex) 075-xxx-xxxx
mail
(ex) mail@hogehoge.com
message

PLEDGE

In regard to my participation in the seminar, I agree to the following terms and conditions. I confirm as a representative of my group that all of my members agree to the same conditions:

  1. I take responsibility for my own health condition during the seminar period.
  2. I participate in the seminar based on my own will and responsibility, and I assume all risks of injury, illness and other accidents during the seminar period.
  3. I release all instructors, staff members, employees and related parties of the seminar organizer from any liability for injury and all accidents during the training sessions at the seminar and all related activities.
  4. I take full responsibility for theft, loss or damage of my properties during the seminar period, and release the organizer from all liability for such happenings.
if you agree with the condition above,please put the number [ 3511 ] below.
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