第24回核戦争防止国際医師会議世界大会(IPPNW2025) IPPNW Bike Tour 2025 Registration Form

【 IPPNW Bike Tour 2025 Registration Form 】

About the Tour

Tour Dates: September 20-28

Location: Hiroshima Atomic Bomb Dome - Nagasaki Peace Park (approx. 480km)

Please fill in all the required details to confirm your participation.
if you have any questions, contact us.

1.Full Name

Please enter your full name exactly as it appears on your passport.

2.Date of Birth

Please use the format YYYY-MM-DD.

3.Gender

4.Nationality

5.Country of Residence

6.Affiliation,Organization

7.Email address

8.Phone number (with country code)

We need your phone number for adding you to our WhatsApp group.

9.Allergies

Do you have any medical conditions or allergies we should know about?

10.Dietary Preferences,Restrictions

11.T-shirt Size

If available, what size custom "IPPNW Bike Tour 2025" t-shirt/scrub do you want?

12.Financial support

■50,000 JPY to participate
We request 50,000 JPY to participate in the bike tour. Your payment will cover costs related to bike rental, accommodation, meals, transportation, and your own custom T-shirts.
Contact Molly McGinty (mmcginty@ippnw.org) with any questions, concerns for supports to cover the fee.

13.Agreements

Please participate only after agreeing to the following terms.

14.Thoughts, questions, comments

Please review and agree to the Personal Information Protection Policy.

The organizers recognize the importance of our responsibility to protect the personal information provided to us by the applicants during the application process. The organizers comply with the laws, regulations and guidelines of Japan pertaining to the handling of personal information.

・Purpose of Use of Personal Information
The personal information provided will be used for the following purposes: provide services/information on this meeting, post-meeting services and marketing activities via email, as well as customer trend analysis.

・Disclosure/Provision of Personal Information to Third Parties
The organizers and Congrès Inc. will disclose or provide information to third parties in case one of the following criteria is applicable:
1. In case disclosure/provision is required by law.
2. In case the information is required in order to protect a person's life, physical safety or assets, in a situation where it is impractical to obtain the consent of the registered applicant.
3. In case statistical data, etc. can be disclosed/provided in a format, with which specific individuals cannot be identified.