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Main Participant

Personal Details

Title *

First / Given Name (As in passport) : *

Middle Name (As in passport) :

Last / Family Name (As in passport) : *

Preferred Name *

Gender * Male Female

Passport Nationality *

Date of Birth *

Address Details

Address Line 1 *

Address Line 2

City *

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Country *

Postal / Zip Code *

Contact Details

Cell / Mobile Phone *

Email Address *

Additional Details

Medical Conditions *

Dietary Requirements *

Additional Participant

Personal Details

Title *

First / Given Name (As in passport) : *

Middle Name (As in passport) :

Last / Family Name (As in passport) : *

Preferred Name *

Gender * Male Female

Passport Nationality *

Date of Birth *

Address Details

Copy Main Participants Address

Address Line 1 *

Address Line 2

City *

State / Region *

Country *

Postal / Zip Code *

Contact Details

Cell / Mobile Phone *

Email Address *

Additional Details

Medical Conditions *

Dietary Requirements *

Additional Participant

Personal Details

Title *

First / Given Name (As in passport) : *

Middle Name (As in passport) :

Last / Family Name (As in passport) : *

Preferred Name *

Gender * Male Female

Passport Nationality *

Date of Birth *

Address Details

Copy Main Participants Address

Address Line 1 *

Address Line 2

City *

State / Region *

Country *

Postal / Zip Code *

Contact Details

Cell / Mobile Phone *

Email Address *

Additional Details

Medical Conditions *

Dietary Requirements *

Additional Participant

Personal Details

Title *

First / Given Name (As in passport) : *

Middle Name (As in passport) :

Last / Family Name (As in passport) : *

Preferred Name *

Gender * Male Female

Passport Nationality *

Date of Birth *

Address Details

Copy Main Participants Address

Address Line 1 *

Address Line 2

City *

State / Region *

Country *

Postal / Zip Code *

Contact Details

Cell / Mobile Phone *

Email Address *

Additional Details

Medical Conditions *

Dietary Requirements *

Additional Participant

Personal Details

Title *

First / Given Name (As in passport) : *

Middle Name (As in passport) :

Last / Family Name (As in passport) : *

Preferred Name *

Gender * Male Female

Passport Nationality *

Date of Birth *

Address Details

Copy Main Participants Address

Address Line 1 *

Address Line 2

City *

State / Region *

Country *

Postal / Zip Code *

Contact Details

Cell / Mobile Phone *

Email Address *

Additional Details

Medical Conditions *

Dietary Requirements *

Additional Participant

Personal Details

Title *

First / Given Name (As in passport) : *

Middle Name (As in passport) :

Last / Family Name (As in passport) : *

Preferred Name *

Gender * Male Female

Passport Nationality *

Date of Birth *

Address Details

Copy Main Participants Address

Address Line 1 *

Address Line 2

City *

State / Region *

Country *

Postal / Zip Code *

Contact Details

Cell / Mobile Phone *

Email Address *

Additional Details

Medical Conditions *

Dietary Requirements *

Add Participant

Additional Comments

Additional Requests / Comments

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Walk Japan would like to use some of the information you provide on this form (e.g. Name, Address, Email Address) to provide updates and marketing materials by email. However, we will not do so without first obtaining your consent.

I consent to the use of my personal data for the purpose stated above.

You can change your mind at any time by clicking the unsubscribe link in the footer of any marketing email you receive from us, or by contacting us at customerservice@walkjapan.com. We will treat your information with respect and will never provide your personal information to third parties for direct marketing purposes. For more information about our privacy practices please see our Privacy Policy and Cookies Policy Statement and Personal Information Collection Statement. By submitting this booking form, you agree that we may process your information in accordance with these terms.

Confirmation

Personal Data relating to Minors

In ticking this box, I represent as follows: I have provided the personal data (including, to the extent applicable, sensitive personal data) relating to a minor(s) in this Booking Form. In relation to such minor(s) for the purpose of completing this Booking Form, I am the holder of parental responsibility and I consent to and authorize the processing by Walk Japan of personal data (including, to the extent applicable, sensitive personal data) in relation to such minor(s) OR I have obtained such personal data (including, to the extent applicable, sensitive personal data) relating to a minor(s) from a holder of parental responsibility for such minor(s) and that holder of parental responsibility has consented to and authorized the processing of such personal data (including, to the extent applicable, sensitive personal data) by Walk Japan.

Sensitive Personal Data

In ticking this box, I represent as follows: To the extent that I have provided Walk Japan with sensitive personal data (for example, medical information) or if I have requested Walk Japan to provide me with special assistance during my tour, or if I have specified a meal preference that indicates a medical condition or a particular religion, I consent to and authorize the processing by Walk Japan of such sensitive personal data for the purposes of providing the relevant services. I understand that I can request at any time to withdraw my consent to Walk Japan processing such sensitive personal data but, if I seek to withdraw my consent, I am aware and acknowledge that Walk Japan may have other legal bases for processing such sensitive personal data and Walk Japan may consider applying such other legal bases. Please refer to our Privacy and Cookies Policy Statement for details of our practices regarding our processing of personal data, your rights and how to contact us.

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