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Register now for 第29回 日本障害者オープンゴルフ選手権
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Email
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Last Name (Kanji)
First Name (Kanji)
Last Name (Kana)
First Name (Kana)
Last name
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First name
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Handicap
Gender
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F
Date of Birth
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住所 Current Address
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都道府県 (選手名簿用) / Prefecture (Japanese Players Only)
国 (選手名簿用) / Country (International Players Only)
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Please select a country
United States of America
Canada
Afghanistan
Albania
Algeria
American Samoa
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Angola
Anguilla
Antarctica
Antigua and Barbuda
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Bouvet Island
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Cook Islands
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Ireland, Republic of
Isle of Man
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Nigeria
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Romania
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Timor-Leste
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Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
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Uruguay
Uzbekistan
Vanuatu
Vatican City
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Venezuela, Bolivarian Republic of
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wales
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
電話番号 Phone Number
*
Pro or Amateur
Pro
Amateur
障害名 - 選手名簿用 / Name of Disability
*
希望部門 / Division
*
グランプリの部 / Grandprix HDC19.4 or lower
上肢障害の部 / Arm Impairment
下肢障害の部 / Leg Impairment
重複障害の部 / Multiple
軽度障害の部 / WR4GD Access Pass
車イスの部 / Seated
片マヒの部 / Recovered from stroke
知的障害の部 / Intellectual
女子の部 / Women
ボランティア男子の部 / Volunteer Men
ボランティア女子の部 / Volunteer Women
WR4GD Pass
*
取得 / Holder
希望 / Request
なし / Neither
WR4GDパスナンバー / WR4GD Pass Number
WR4GD部門への参加を希望しますか？ / Do you wish to play in the WR4GD division?
Yes
No
日本障害者ゴルフ協会主催競技へは初参加ですか？ / First time participating in a JDGA tournament?
Yes
No
帯同キャディを申請しますか？do you wish to register a caddy?
Yes
No
帯同キャディ指名 / Caddy full name
ゴルフ場へ付添いされる方はいますか？/ Will anyone be accompanying you to the course?
Yes
No
付添い者の氏名 / Accompanying person full name(s)
練習ラウンド / Practice Round
18 Holes
9 Holes
X
前夜祭付添い / Guest for Welcome Party
Yes
No
人数・氏名 / Number of Guests・Full Name of Guests
ホテル〜ゴルフ場間の送迎バス Do you wish to request a shuttle between hotel - golf course?
Yes
No
ホテル / Hotel
*
のがみプレジデントホテル / Request Nogami President Hotel
新飯塚ステーションホテル / Request Shiniizuka Station Hotel
ホテルを予約しない / Don't request the hotel.
部屋タイプ / Room type
Single room
Twin room
2 Single rooms
2 Twin rooms
宿泊人数 / Number of guests
チェックイン / Check in date
チェックアウト / Check out date
備考 / Note
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