Apply for 【Homestay experience in Nagasaki, Kyushu! 】

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Matsuura-shi is located in Nagasaki prefecture.It takes about 2 hours to go to Matsuura-shi from Fukuoka.

If you have applied to join agricultural or fishery experience, please arrive Matsuura at around 13:00 .
If you do not join any experience, please arrive Matsuura at around 16:30.
If you would like to join the experience, all applicants have to join the same experience at the same time.

Please email to us if you have any problem: gcl@greencl.co.jp
More details ：https://greencl.co.jp/en/1499/
Facebook：https://www.facebook.com/greenculturelink/

※If you would like to cancel the tour, please email to us no later than 14 days prior to your departure date.

Name of applicant *

English name (same with the name which printed on your passport) *

Sex: *

Female

Male

Age: *

Email： *

Phone number: *

Home address: *

Do you have any food allergy? *

Yes

If you have food allergy or chronic illness, please state the name of food ／illness below. (e.g.seafood allergy)

Departure date（Y/M/D）： *

YYYY

Return date（Y/M/D）： *

YYYY

How many night would you like to stay? *

1 night

2 nights

3 nights

4 nights

5 nights

Required

Total number of applicant: *

Would you like to join the agricultural or fishery experience? （If no, please skip this question.) ※If you would like to join the experience, all applicants have to join the same experience at the same time.

Boat fishing experience（Fishery experience）

Octopus catching experience（Fishery experience）

Fish cake making experience（Fishery experience)

Mochi making experience（Agricultural experience) Only be available on Dec and Jan

Pressed sushi making experience（Agricultural experience）

Traditional japanese cuisine cooking experience（Cooking experience）

Please tell us whether you come Matsuura by rental car or public transportation. *

Rental car *there is free parking lot in Matsuura

Public transportation

Any comment:

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms