| Name |
|
| Senshusei |
Yes
No
|
| Senshusei Course |
If not Senshusei, specify your affiliation:
|
| Rank |
|
| Address |
|
| Email |
|
| Phone |
|
| Emergency Contact |
|
Names of other people in your group
** NOTE all attendees will need to register individually using this form
|
|
| Flight Details |
|
| Do you have any special dietary needs or allergies?
|
|
Do you require help to find accommodation before / after the Senshusei Alumni event?
|
|
| Comments |
|
Help us prevent spam
*
|
|
|
