※ Required Information

■Information

※Participant number　
※Request date(Pool training day)　
※Request date(Ocean dives, first day)　 ※From date request 2 days.
※Meeting place　Atami Station 8:15 am
※Method of payment
---Pay online by credit cardPay by bank transfer

* If you select “Pay Online by Credit Card” we will send you a confirmation email containing a link to the payment site.
Please make your payment through the link in the confirmation email. No online payments will be made in this booking form.

■Participant information 1

※Name

※MaleFemale
※Date of birth

※Zip code

※Address

※City

※State

※Country

※Mobile phone

Name of your hotel in Japan

※e-mail

Size data
Height cm　Weight kg　size of the foot cm

■Participant information 2

Name

※MaleFemale
Date of birth

e-mail

Size data
Height cm　Weight kg　size of the foot cm

■Participant information 3

Name

※MaleFemale
Date of birth

e-mail

Size data
Height cm　Weight kg　size of the foot cm

■Participant information 4

Name

※MaleFemale
Date of birth

e-mail

Size data
Height cm　Weight kg　size of the foot cm

■Participant information 5

Name

※MaleFemale
Date of birth

e-mail

Size data
Height cm　Weight kg　size of the foot cm

■Any additional requests

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