Visitor Application Form

Please fill out the form below and click "submit".

Due to the worldwide spread of the new coronavirus, Konohana family is now temporarily suspending accepting visitors in consideration of the impact on local people. We appreciate your understanding. The timing for resuming visits is not determined at this stage, but will be announced at an appropriate stage based on global situation. If you have any special circumstances regarding your visit, please contact us. 　 Contact: Michiyo　 E-mail：intl★konohana-family.org （Please change ★to＠）
Full name*
Nationality*
Gender*
Date of birth*
Occupation
E-mail*
Phone Number*
Address*
Date and time of arrival*
Transportation*
Date and time of departure*
Level of your Japanese fluency
Do you have any allergies to food?*
- Yes
- No
If you responded "Yes" to the above, please provide a brief description.
For example: I am allergic to eggs, I am a vegan, etc.
How did you find out about Konohana Family?*
Why do you like to visit us?*
What do you hope to take with you when you leave?*
If you would like to join the following activities, please check.
- Farming or cooking experience (free of charge)
- Presentation on our community (600 yen/person if more than 5 guests participate. Otherwise, 3,000 yen of the whole presentation fee will be shared with the number of requesting guests.)
- Guide tour including our rice and vegetable fields, green houses and chicken house (550 yen)