WINTER DAY CAMPS DEC 2022 | FC NOMADE
Make sure to send by email the copies of ID/passport and insurance cards after submitting the form
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Please, select the day(s) you will attend / どの日に参加しますか？ *
Required
Player's Information / 選手のついて
Player's First & Family Name / 選手の名字・名前  *
Date of Birth / 生年月日 *
MM
/
DD
/
YYYY
Age / 年齢 *
Gender / 性別 *
Name of School / 学校名 *
How many years of soccer experience? / サッカー歴は何年ですか？
 *
How many times have you joined a soccer camp? / サッカーキャンプ(合宿)に何回参加されたことがありますか？
 *
Any food allergies?/アレルギー
Any medication or treatment? Please indicate the name,  the amount, the time as well as how medicines should be taken / 何か薬や治療をしていますか？薬の名前、量、時間、飲み方などをご記入ください。
Anything about your children's health condition we should be aware of? / お子様の健康状態について、何か注意すべき点はありますか？
Contact Information/コンタクト
Please, download the LINE messaging app and join our teams' group chats to receive all information and event updates: https://apps.apple.com/jp/app/line/id443904275 

アプリ「LINE」をダウンロードし、チームのグループチャットに参加すると、すべての情報やイベントの最新情報を受け取ることができます。https://apps.apple.com/jp/app/line/id443904275
Player's Phone Number/選手の電話番号
Player's LINE ID/選手のLINE
Father's Name/父の名前 *
Father's Phone Number/父の電話番号 *
Father's LINE ID/父のLINE *
Mother's Name/母の名前 *
Mother's Phone Number/母の電話番号 *
Mother's LINE ID/母のLINE *
Email Addresses (if several, separate with ",")/Eメール *
Postal Code (for example, 151-0000)/郵便番号 *
Prefecture (for example, Tokyo)/県 *
City (for example, Shibuya-ku)/区 *
Subarea (for example, Yoyogi)/町 *
Street and Room Number (for example, 1-23-4-101) *
First Person to contact in case of emergency / 緊急時の連絡先 *
Do you allow us to take photos and videos, and upload them on FC Nomade website and SNS platforms? / 写真や動画を撮影し、FCノマドのウェブサイトやSNSに掲載することを許可しますか？ *
How did you find out about FC NOMADE Camp? / FCノマドキャンプを何で知りましたか？
Clear selection
I confirm that I am a parent or a player who has received consent from a parent to fill out and submit this form / 私は、保護者から同意を得た選手であることを確認し、このフォームに記入し送信します。 *
Required
Documents to be sent by email / メールで送付する書類
We need the following documents to show to the hospital in case of injuries sustained during the camp for insurance purposes, and to ensure the players receive a quick diagnosis, care or treatment if needed.

Please, send the documents below to fcnomade@p-and-i.jp 

> Copy of passport
> Original Japanese Insurance Card

キャンプ中に怪我をした場合、病院にて保険証が必要です。キャンプ中に原本が必要ですが、事前にスポーツ保険、施設に名簿提出するために、以下の書類が必要です。

以下の書類を fcnomade@p-and-i.jp までお送りください。

> パスポートのコピー

> 日本の保険証の原本

I confirm that I sent the copies mentioned above (registration cannot be complete without these documents) / 私は上記のコピーを送ったことを確認します（これらの書類がないと登録が完了しません）". *
Required
Data Privacy/データ
All information provided to FC Nomade, through this form or by any other means online (correspondence by emails, messages shared through LINE) or in writing (documents of any kind) will be treated with strict confidence and will, under no circumstances, be shared with any third-parties. FC Nomade will carefully handle your personal information and will use personal information only within the limitations of the purpose of registering the player to FC Nomade Camps.
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