Applicant Name *

First Name

Last Name

Has applicant had any allergic reaction to food? *

Yes

No

Has applicant had asthma? *

Yes

No

Does applicant likely to get carsick? *

Yes

No

If "Yes", does applicant take medication?

Yes

No

Can applicant swim?

Yes

No

How did you come to join this programme? *

Intersted in summer camp in Japan

Interested in Arts activity

Friend asked

Activities looks good

Love Japan

Reasonable fee

Sympathize with Artster'z philosophy

have joined already