Petit Canoe Experience Application Form

①Desired Date of Experience
※Online reservations must be made two days in advance. If you would like to make a reservation the day before or on the day of, please call us instead (Japanese only).

②Desired time　　
9：30～10：1511：00～11：4513：30～14：1515：00～15：45

③Name of representative 　

④Gender of the representative 　malefemaleother

⑤Age of the Representative 　
⑥Representative Address 　
⑦Mobile phone number of the representative 　

⑧Representative's email address 　

⑨the number of people

⑩Which canoe do you want to ride in?　
singletwo-seater
※Upper elementary school students can ride alone.
（Depending on the condition of the river and other factors, your instructor may recommend a two-seater ride.）
※Adults have better maneuverability and stability in a single-seat vehicle.

⑪Please provide the names, ages, and genders of those who are not represented in the program 　

【What to wear, what to bring, and other information for the day (please be sure to check)】
（ ② and ③ can be rented for free）
①Clothing that is easy to move around in and dries easily when wet. Pants must be short or rolled up.
②Hat with chin strap
③Sandals or marine shoes (Crocs-like type with a band on the heel. Flip-flops and the like are not allowed as they can come off easily in the water)
④towel
⑤Drinks and sunscreen.
⑥A change of clothes for when it gets wet.
⑦When you go to the lodging facility "Kimimachizaka Ichinokura" next to Roadside Station Futatsui to take a bath on your way home, you can take a bath set.
⑧Masks (required for registration on land)
⑨A waterproof case for your phone and camera (with a string to hang it around your neck) if you want to take photos in a canoe.

【Notes (please agree to everything and check the box below to submit)】
1.Please follow your instructor's instructions during the experience.
（This is an experience in nature, so please do not act selfishly, as it can be dangerous!）
2.It is the participant's responsibility to take care of his or her valuables.
3.Junior high school students and younger must be accompanied by a parent or guardian, and minors must have the consent of a parent or guardian.
4.The experience may be cancelled due to weather or natural conditions.
5.You must be an Akita Prefecture resident who has not moved out of the prefecture within two weeks of the experience date (for the time being).
6.Those who are not in good physical condition on the day may be asked to refrain from attending.
7.Please be sure to check in at least 30 minutes before your visit.

■After submitting the form, we will send you a confirmation email or call you to confirm your reservation. If you do not hear from us, please call us and let us know that you have made a reservation.
■Please call to make a reservation the day before or on the day of the event. (Japanese only)

I agree with all of the above.