SUMMER CAMP STAFF APPLICATION 2008

The International Youth Summer Camp 2005 Application Form Submit Completed Application to: International Affairs Divisions, City of Okayama 1-1-1 Daiku, Okayama-city, 700-8544, Japan Fax: 81-86-225-5408 Name： Birthday： Gender： Address： Telephone Number：
Participant Email Address： Name： Relationship to participant（ ） Address： Telephone Number： Emergency Contact Email Address： Please list any major illnesses
you have had or any forms of
sickness which you are prone to
that our staff should know about. Please outline your current
state of health, including any
medications you may be taking
on a regular basis. Please state any allergies you
may have and your methods for
controlling your allergies. Foods that you do not eat. ＊ Please circle any foods which you DO NOT eat. ① Beef ②Pork ③Chicken ④Fish
⑤Other（ ） Since you will be abroad for an extended period of time, please be as specific as possible.

Comments