Gym Registration Form

Are You Applying For Yourself? *

Yes

What is Your Affiliation? *

Student/Intern

Faculty/Staff

Postdoc

Workshop guest or visiting researcher or guest of OIST

Family member of OIST employee

Family member of OIST student

Temporary OIST employee hired from Okinawan agency (if you click this option: kaori.kishimoto@oist.jp will contact you to explain details).

Other...

What is Your Affiliation? Other...

For Whom Are you Applying? *

Family member

My Guest

Workshop participant

Guest of the President

Are you a student/intern? *

Yes

User Name (Student's Family) *

User Name *

Guest Name *

Do you agree to authorize the OIST Graduate University to deduct monthly fees from your pay? *

Yes

JY 400 per day and maximum charge is JY4,000 per month. *Multiple use in the same day counts as one.

Do you agree to authorize the OIST Graduate University to deduct monthly fees from your pay? *

Yes

JY 400 per day and maximum charge is JY4,000 per month. *Multiple use in the same day counts as one.

Application Form

You Name *

Email *

OIST ID# *

If you do not have an OIST Pictured ID, please enter your Temporary Card number (8-digit number starts with 0)

Date of Birth *

Year

Month

Day

Position/Title *

Division *

Address

Phone 1

Phone 2

Emergency Contact Person *

Emergency Contact Phone *

Family Member Access

Family member gym access: Access to the gym will be given after the family member completes the orientation. The gym access card will be given through Resource Center and Building Facility Management and processed in 24 hours. If a family member wishes to have a family access card (lab access); they must apply with the Resource Center. The family access (lab access) card can take up to one month to process.

Gym Orientation Registration

In order to register to use the gym, you must attend an Orientation Session. This is a mandatory session all users are required to take before using the facility. Please bring the following items with you on the day of orientation: 1. A pair of indoor shoes so you can change into clean shoes. 2. Your OIST Security Key Card. 3. signed copy of the liability waiver. The venue for the orientation will be at the Fitness Gym, Village center.

Please select your preferred session from the list below: *

January 23rd- Thursday 17:00-17:30(English) You will receive an email reminder on Wednesday before the orientation.

You will receive a confirmation email by 17:30, one day prior to the session. Please contact (robyn.serge@oist.jp) in the Recreation Services Section if you don't receive one. Thank You.

Have you read and understood the PRP and OIST Graduate University Gymnasium Liability Waiver and Consent? * Please print out the Liability waiver, sign it and bring to the orientation.

: *

Yes

Leave this field blank