Visitor Application Form

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

Full name*
Nationality*
Gender*
Date of birth*
Occupation*
E-mail*
Phone Number
Address*
Companion
If you have companions, please fill in their names, genders and ages as well as how many rooms you need.
Arrival date*
Please fill out your arrival time and transportation if you have decided.
Departure date*
Level of your Japanese fluency
Do you have any allergies to food?*
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.
- Community life experience such as farming and cooking (free of charge)
- Comprehensive presentation on the life and worldview of the Konohana Family (3,000 yen per time / 1,000 yen per person if 4 or more people participate / Free for elementary school students and under)
- Guided tour to see the facilities and fields of Konohana Family (3,000 yen per time / 1,000 yen per person if 4 or more people participate / Free for elementary school students and under)