¡ü
Application for Participation
Please enter all required information in the form below and proceed to the confirmation page.
¡ö
Denotes a required field.
Payment Method
¡ö
Bank Transfer
Credit Card
Entry fee
¡ö
adult
High School student
Name of Person
Making Payment
Required when paying by Bank Transfer.
Name
¡ö
Name in furigana
if Known.
Sex
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M
F
Nationality
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Date of Birth
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Year
Month
Day
Age
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*Enter your ages as of race day.
Guardian's
Signature
*for Minors.
Address
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Postal Code
Prefecture
Select one
Hokkaido
Aomori
Iwate
Miyagi
Akita
Yamagata
Fukushima
Ibaraki
Tochigi
Gunma
Saitama
Chiba
Tokyo
Kanagawa
Niigata
Toyama
Ishikawa
Fukui
Yamanashi
Nagano
Gifu
Shizuoka
Aichi
Mie
Shiga
Kyoto
Osaka
Hyogo
Nara
Wakayama
Tottori
Shimane
Okayama
Hiroshima
Yamaguchi
Tokushima
Kagawa
Ehime
Kochi
Fukushima
Saga
Nagasaki
Kumamoto
Oita
Miyazaki
Kagoshima
Okinawa
Municipality
Apartment, Etc.
TEL
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Email
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*PC Email.
Participation
Category
¡ö
Select one
Group 1: High School to Age 19
Group 2: Age 20 to 29
Group 3: Age 30 to 39
Group 4: Age 40 to 49
Group 5: Age 50 to 59
Group 6: Age 60 to 69
Group 7: Age 70 to 80
Estimated Time
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Select one
A: 1 hour 15 min. to 1 hour 45 min.
B: 1 hour 45 min. to 2 hours 15 min.
C: 2 hours 15 min. to 2 hours 45 min.
D: 2 hours 45 min. to 3 hours 30 min.
E: 3 hours 30 min. to 5 hours 10 min.
*Distance¡§21.0975Km.
T-Shirt Size
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XS
S
M
L
XL
Group
Required when entry group award.
Participated 1st
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yes
no
Participated 2nd
¡ö
yes
no
Participated 3rd
¡ö
yes
no
Participated 4rd
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yes
no
Participated 5rd
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yes
no
Participated 6th
¡ö
yes
no