EnglishCamp 2016 in Kyoiku-Plaza Kasai application form (English)

*for fo
oreigners
Frrom Sa
at. Noov 19, 16
6:00
to Sun. Nov
N 20
0, 10:00
0
Place : K
Kyoiku-Pla
aza Kasai (Stay fo
or one night at the Plaza.)
P
Maximum
m number of participants:20
0 foreigners & 20 Ja
apanese sstudents.
Applicatiion : Subm
mit applica
ation form
m by Fri. Nov 4
to Ky
yoiku-Plaz
za or Youtth Develop
pment Sec
ction of Ed
dogawa City
C Office.
Gro
oup Ga
ame, Ta
alking, Outdoo
O
or Cook
king, Se
ento Tou
ur, etc…
….
Lett’s hav
ve fun
n With
h Japa
anese junior
j
r-high
h
& high sch
hool sttudents!!
# Rules
R
: English only
y, No-alcoh
hol, smok
king
# Participat
P
ion fee : Foreigners
F
s No Cha
arge
Japanese students
s
1,000yen
# For
F public rrelations, ev
vent staff may take picttures
and postt in public relations
r
or web site an
nd so on.
# In
I case of th
he number of
o applicantts is over
the
t maximu
um, participants are chosen by dra
awing.
# Iff you attend
d the taking
g public bath (Sento) prrogram, you
u need to
pay
p extra 46
60yen.
# Bring
B
clothees for chang
ge, items to take bath,
and
a what yoou need to stay
s
(We willl prepare ssleeping bag
gs).
This progra
am is org
ganized by
b Youth Developm
ment Sec
ction of E
Edogawa City Offfice
TE
EL: 03-566
62-1629
F
FAX:
03-56
607-5151 ((Edogawa
aku Seisho
onen-kakaari) Mon-Fri 8:30-17::00
c
ut
cutt
Applicat
A
tion Form
m of English Ca
amp 201
16
(date of applyy
name
gendder
nationality
phone No
o.
/
/ 2016))
M
F
age
Hom
me
Mobile
e-mail
Home
address
permissio
on
(ex: Tokyyo, Edogawa-ku
u, chuuou 1-4-1
〒134-0081)
(If applicant is unde
er 19years olld) Name and
a signature
e of curator
If you have
h
someth
hing special request, ple
ease write down.
d
(ex : fooods, allergy
y, etc)
(Kasai)
共育プラザ葛⻄
Kyoiku-Plaza Kasai
〒134-0082
Funabori Station
江⼾川区宇喜⽥町 175 番地
175 Ukita Edogawa City Tokyo
TEL:03-3688-8611
Toei Shinjuku line
FAX:03-5674-6243
Shinkawa River
Ukita shougakkou Bus stop
・都営新宿線「船堀駅」下⾞ 徒歩 15 分
または都バス:葛⻄ 24 番「宇喜⽥⼩学校」下⾞
・東⻄線「⻄葛⻄」下⾞ 徒歩 15 分
Culture Center
・東⻄線「葛⻄」下⾞
Kyoiku-Plaza
Kasai
都バス:葛⻄ 24 番「宇喜⽥⼩学校」下⾞
・駐⾞場なし
Gyosen Park
・15 minutes by walk from Funabori Station
(Toei-shinjyuku line) or Take Toei bus
Ukita Bus Stop
(No.24 Kasai) get down Ukita shougakkou Bus stop
・15 minutes by walk from Nishikasai Station
(Touzai line)
Kasaibashi Ave.
Nishikasai
Elementary
School
Sports Center
・Take Toei bus (No.24Kasai) and get down
Tozai line
Ukita shougakkou Bus stop from Kasai station
(Tozai line)
Nishikasai Station
・No Parking area
*先にFAXでお申込みの場合は、後日原本を提出して下さい
*If you sent by fax first, please submit the original later.