Online Pre -Mama / Prepapa Seminar

Applicant name

nameEssential

Surname

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given name

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name)Essential

Surname

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Good

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Scheduled birth date

Scheduled birth dateEssential

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Please enter the expected childbirth date.

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contact address

telephone numberAny

* Please fill in with hyphen and half -width numbers. * If you do not receive the application completion email, we will call.

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E-Mail addressEssential

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We will send you the application completion email notification and details to your email address. Please register the address that can be received reliably. * Please be able to receive emails from "@mikihouse.co.jp".

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Maternity hospital nameEssential

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Please enter the maternity hospital that introduced this seminar.

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Desired classEssential

　(01) May 4th (Sat) 14: 00-15: 00

　(02) Tuesday, May 14th (Tuesday) 10: 00-11: 00

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* Please wait for about 10 minutes until you receive the application completion email.