Application Form

Japan
Your Name (required)
Your Name with KATAKANA (required)
Your Email (required)
Course (required) Class1 regularClass1 advanceed subject & practicalClass2 regularClass2 practicalPWC regularPWC practical
Preferred training date
Lessons in the department (General subjects or for PWC)
Lessons in the department (Advanced subjects)
Practical Lessons (Boat or PWC)
Training venue (required) Marina RIVRE(Lake Biwa)Hannan Marina(Kishiwada)force(Settsu Yodo River only PWC)
Examination (required) First class(2/15 Osaka)First class(4/20 Osaka)First class(6/21 Osaka)First class(8/24 Osaka)First class(10/19 Osaka)First class(12/1 Osaka)First class(2/8 2024 Osaka)Second class(2/15 Osaka)Second class(4/20 Osaka)Second class(6/21 Osaka)Second class(8/24 Osaka)Second class(10/19 Osaka)Second class(12/1 Osaka)Second class(2/8 2024 Osaka)PWC class(4/10 Rivre)PWC class(5/1 Rivre)PWC class(6/5 Rivre)PWC class(7/3 Rivre)PWC class(8/15 Rivre)PWC class(9/4 Rivre)Other(with Japanese)
Boat's operator's license you haveNoneFirst classSecond classPWC classNO:
Date of Birth(required) Age
SexMaleFemale
Nationality(required)

Postal code (Seven digits)

Address1(Japanese,automatic input)

Address2(English)
Address2
PhoneMobile phone
Payment of expensesBank transferPaypalPayPay
Your Message

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