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Program selection
Date
Name
Date of birth
Occupation
Sex male female
Postal code
Address
Phone
Mail
Number of participants (staying)
Do you have allergies?
Is there any dietary restriction?
Would you like a vegetarian meal? yes no
Are you pregnant now (only for women)? yes no
What kind of health foods do you regularly have?
Please write the message (Feel free to write, such as your health concerns, etc.).