JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
6月8日（土）GOCAキッチン申込フォーム / June 8th(sat) Application form of "GOCA kitchen"
*あなたが書（か）いた個人情報（こじんじょうほう）は、”GOCAキッチン”以外（いがい）の目的（もくてき）で使（つか）いません。Your personal information in this form will not be used for any other purpose
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
このイベントをどこで知（し）りましたか。/ How did you get to know this event?
*
おおた区報（くほう）/ Ota-ku Newsletter
GOCA HP・SNS
チラシ / Flyer
Other:
Required
１．参加（さんか）するこどもの名前（なまえ）/ Name of your child(ren) who will participate
*
＊ひらがなで書（か）いてください。/Write your child(ren)'s name in Hiragana
Your answer
２．参加（さんか）するこどもの名前（なまえ）/ Name of your child(ren) who will participate
*
＊アルファベット、または、漢字（かんじ））で書（か）いてください。/Write your child(ren)'s name in Kanji or alphabet
Your answer
3．国（くに）/Country
*
Your answer
４．学校（がっこう）/Name of school
*
Your answer
５．学年（がくねん）/Grade
*
Your answer
6. 参加（さんか）する保護者（ほごしゃ）の名前（なまえ）/ Name of guardian who will participate
*
Your answer
7．保護者 の 電話番号（でんわばんごう）/ Phone number of parent/guardians
*
Your answer
8. 食物アレルギーはありますか？/Do you have any food allergies?
*
はい / Yes
いいえ / No
９. アレルギーがある場合、食材を教えてください。/ If you have food allergies, please tell us what foods you are allergic to.
Your answer
10． 宗教や健康上の理由で食べられない食材があればお書きください。 Please let us know if there are any kind of foods that you are prohibited from eating because of medical or religious reason.
Your answer
11. お申込み多数の場合は抽選となりますので、ご了承ください。If the number of applications exceeds the maximum number of spaces, a draw will be held.
*
了解しました/OK
12. コメント comment
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
