Step 4 - Request Form Read & Agree * I have read and agree to the above YC policies & procedures. Name * First Name Last Name Email * Phone * Church Name If registering for a group, give group name Check in Date * MM DD YYYY Expected Arrival Time * Check-in time is at 4:00 PM. If arriving later, please select a time from the options below. 4:00 PM 5:00 PM 6:00 PM 7:00 PM 8:00 PM 9:00 PM Check out Date * MM DD YYYY Number of Nights * Number of Adults * Number of Children * Number of cabins needed * Which cabins requested (if known) List any pets you are bringing Only allowed in cabin 3 & 5 What is your status ? * A SEND International missionary A missionary (not with SEND International) A Pastor in Japan A Christian worker (employed only by a Christian organization) I'm registering for a church or Christian group A member of the general public (Christian) How did you learn about YC From a friend From social media I saw advertising online I've stayed at YC before Other Questions & Comments Phone * 070 7687 9876 Country (###) ### #### Thank you! Phone * 080-8789-9987 Country (###) ### #### Thank you!
