{"id":1261,"date":"2023-06-02T11:01:35","date_gmt":"2023-06-02T02:01:35","guid":{"rendered":"https:\/\/junpukai.or.jp\/health\/?page_id=1261"},"modified":"2026-01-19T20:54:39","modified_gmt":"2026-01-19T11:54:39","slug":"institution-form","status":"publish","type":"page","link":"https:\/\/junpukai.or.jp\/health\/institution-form\/","title":{"rendered":"\u3010\u500b\u4eba\u7528\u3011\u7533\u8fbc\u307f\u30d5\u30a9\u30fc\u30e0"},"content":{"rendered":"<div class=\"inner mb-65\">\r\n  <div class=\"contact-tab-list other-box\">\r\n    <div class=\"contact-link apply-link\">\r\n      <a href=\"https:\/\/junpukai.or.jp\/health\/apply\/\">Web\u7533\u3057\u8fbc\u307f\u30fb\u304a\u554f\u3044\u5408\u308f\u305b<\/a>\r\n    <\/div>\r\n    <div class=\"contact-link\">\r\n      <a href=\"https:\/\/junpukai.or.jp\/health\/patrol-form\/\">\u3010\u6cd5\u4eba\u7528\u3011\u5065\u6d3b\u30b5\u30ed\u30f3<\/a>\r\n    <\/div>\r\n    <div class=\"contact-link\">\r\n      <a href=\"https:\/\/junpukai.or.jp\/health\/option-apply\/\">\u30aa\u30d7\u30b7\u30e7\u30f3\u691c\u67fb<\/a>\r\n    <\/div>\r\n  <\/div>\r\n      <h2>\u3010\u500b\u4eba\u7528\u3011\u7533\u8fbc\u307f\u30d5\u30a9\u30fc\u30e0<\/h2>\r\n      <div class=\"mb-40\">\r\n        <div class=\"form-txt\">\r\n          <ul class=\"no-mt\">\r\n            <li>\r\n              <p>\u5f8c\u65e5\u3001\u6df3\u98a8\u4f1a\u306e\u55b6\u696d\u62c5\u5f53\u8005\u3088\u308a\u3054\u9023\u7d61\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u307e\u3059\u3002<\/p>\r\n            <\/li>\r\n            <li>\u9001\u4fe1\u524d\u306b\u30c9\u30e1\u30a4\u30f3\u6307\u5b9a\u53d7\u4fe1\u7b49\u306e\u8a2d\u5b9a\u3092\u78ba\u8a8d\u3057\u3066\u304f\u3060\u3055\u3044\u3002<br>\u30c9\u30e1\u30a4\u30f3\u6307\u5b9a\u53d7\u4fe1\u3092\u3057\u3066\u3044\u308b\u5834\u5408\u3001@junpukai.or.jp \u306e\u8ffd\u52a0\u3092\u304a\u9858\u3044\u3057\u307e\u3059\u3002<br>\u8ff7\u60d1\u30e1\u30fc\u30eb\u5bfe\u7b56\u7b49\u3067\u30a4\u30f3\u30bf\u30fc\u30cd\u30c3\u30c8\u30e1\u30fc\u30eb\u306e\u62d2\u5426\u8a2d\u5b9a\u3092\u884c\u3063\u3066\u3044\u308b\u3068\u3001\u53d7\u4fe1\u3067\u304d\u307e\u305b\u3093\u3002<\/li>\r\n          <\/ul>\r\n        <\/div>\r\n      <\/div>\r\n      \n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1282-o1\" lang=\"ja\" dir=\"ltr\" data-wpcf7-id=\"1282\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/health\/wp-json\/wp\/v2\/pages\/1261#wpcf7-f1282-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"\u30b3\u30f3\u30bf\u30af\u30c8\u30d5\u30a9\u30fc\u30e0\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1282\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.4\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"ja\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1282-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:1282,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;venue-hope01&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;venue&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;\\u5065\\u5eb7\\u7ba1\\u7406\\u30bb\\u30f3\\u30bf\\u30fc\\u5ca1\\u5c71(\\u5ca1\\u5c71\\u5e02\\u5317\\u533a\\u5927\\u4f9b2-3-1)&quot;}]},{&quot;then_field&quot;:&quot;venue-hope01&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;venue&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;\\u5065\\u5eb7\\u7ba1\\u7406\\u30bb\\u30f3\\u30bf\\u30fc\\u5009\\u6577(\\u5009\\u6577\\u5e02\\u9023\\u5cf63-1-19 \\u6df3\\u98a8\\u30b9\\u30af\\u30a8\\u30a2)&quot;}]},{&quot;then_field&quot;:&quot;venue-hope02&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;venue&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;\\u4e73\\u304c\\u3093\\u691c\\u67fb\\u7279\\u5225\\u5272\\u5f15\\u30af\\u30fc\\u30dd\\u30f3\\u53d7\\u5165\\u4f1a\\u5834&quot;}]},{&quot;then_field&quot;:&quot;venue-hope01&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;venue&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;\\u5065\\u5eb7\\u7ba1\\u7406\\u30bb\\u30f3\\u30bf\\u30fc\\u5927\\u5b89\\u5bfa(\\u5ca1\\u5c71\\u5e02\\u5317\\u533a\\u5927\\u5b89\\u5bfa\\u5357\\u753a2-9-21 \\u6df3\\u98a8\\u4f1a\\u5927\\u5b89\\u5bfa\\u30af\\u30ea\\u30cb\\u30c3\\u30af)&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false}}\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<table class=\"table-01 shudan-tbl shudan02-tbl\">\n\t<tbody>\n\t\t<tr>\n\t\t\t<th class=\"need top\" scope=\"row\">\n\t\t\t\t<p>\u304a\u540d\u524d\n\t\t\t\t<\/p>\n\t\t\t<\/th>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"name-input\"><span class=\"wpcf7-form-control-wrap\" data-name=\"your-surname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"userName01\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u59d3\uff08\u6f22\u5b57\uff09\" value=\"\" type=\"text\" name=\"your-surname\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"userName02\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u540d\uff08\u6f22\u5b57\uff09\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr class=\"no-space\">\n\t\t\t<th class=\"need\" scope=\"row\">\n\t\t\t\t<p>\u30d5\u30ea\u30ac\u30ca\n\t\t\t\t<\/p>\n\t\t\t<\/th>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"name-input\"><span class=\"wpcf7-form-control-wrap\" data-name=\"kana01\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"userNameKana01\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u59d3\uff08\u30ab\u30bf\u30ab\u30ca\uff09\" value=\"\" type=\"text\" name=\"kana01\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"kana02\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"userNameKana02\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u540d\uff08\u30ab\u30bf\u30ab\u30ca\uff09\" value=\"\" type=\"text\" name=\"kana02\" \/><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<th class=\"need top\" scope=\"row\">\n\t\t\t\t<p>\u500b\u4ebaID(10\u6841)\n\t\t\t\t<\/p>\n\t\t\t<\/th>\n\t\t\t<td class=\"institution-id-box\">\n\t\t\t\t<p><span class=\"personal-id\"><span class=\"wpcf7-form-control-wrap\" data-name=\"personal-id\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"10\u6841\u306e\u500b\u4ebaID\u3092\u5165\u529b\" value=\"\" type=\"text\" name=\"personal-id\" \/><\/span><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"personal-id-none\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"personal-id-none[]\" value=\"\u53d7\u8a3a\u7968\u306a\u3057\" \/><span class=\"wpcf7-list-item-label\">\u53d7\u8a3a\u7968\u306a\u3057<\/span><\/label><\/span><\/span><\/span><span class=\"sub-txt look-red\">\u203b\u65b0\u898f\u306b\u7533\u8fbc\u3055\u308c\u308b\u65b9\u306f\u53d7\u8a3a\u7968\u306a\u3057\u306b\u30c1\u30a7\u30c3\u30af\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><span class=\"sub-txt\">\u203b\u500b\u4ebaID\u306f\u53d7\u8a3a\u7968\u306e\u8868\u7d19\u3067\u3054\u78ba\u8a8d\u304f\u3060\u3055\u3044\u3002<\/span>\n\t\t\t\t<\/p>\n\t\t\t\t<p class=\"no-mb\"><a href=\"https:\/\/junpukai.or.jp\/health\/wp-content\/themes\/child\/image\/contents\/institution\/institution_form01.pdf\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"link-bnr\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/junpukai.or.jp\/health\/wp-content\/themes\/child\/image\/contents\/institution\/institution_id_img.jpg\" width=\"152\" height=\"212\" alt=\"\u53d7\u8a3a\u8868\u306e\u8868\u7d19\" \/><\/a>\n\t\t\t\t<\/p>\n\t\t\t\t<p><span class=\"look-red sub-txt\">\u203b\u53d7\u8a3a\u30ad\u30c3\u30c8\u306f\u5f15\u304d\u7d9a\u304d\u4f7f\u7528\u53ef\u80fd\u3067\u3059\u3002<\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr class=\"work-box\">\n\t\t\t<th class=\"need w-180\" scope=\"row\">\n\t\t\t\t<p>\u3054\u52e4\u52d9\u5148\n\t\t\t\t<\/p>\n\t\t\t<\/th>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"work\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"work\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t<\/tbody>\n<\/table>\n<table class=\"table-01 table-border-top\">\n\t<tbody>\n\t\t<tr>\n\t\t\t<th class=\"need\" scope=\"row\">\n\t\t\t\t<p>\u53d7\u8a3a\u5e0c\u671b\u4f1a\u5834\n\t\t\t\t<\/p>\n\t\t\t<\/th>\n\t\t\t<td class=\"venue-patrol-box\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"venue\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"venue\" value=\"\u5065\u5eb7\u7ba1\u7406\u30bb\u30f3\u30bf\u30fc\u5ca1\u5c71(\u5ca1\u5c71\u5e02\u5317\u533a\u5927\u4f9b2-3-1)\" \/><span class=\"wpcf7-list-item-label\">\u5065\u5eb7\u7ba1\u7406\u30bb\u30f3\u30bf\u30fc\u5ca1\u5c71(\u5ca1\u5c71\u5e02\u5317\u533a\u5927\u4f9b2-3-1)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"venue\" value=\"\u5065\u5eb7\u7ba1\u7406\u30bb\u30f3\u30bf\u30fc\u5927\u5b89\u5bfa(\u5ca1\u5c71\u5e02\u5317\u533a\u5927\u5b89\u5bfa\u5357\u753a2-9-21 \u6df3\u98a8\u4f1a\u5927\u5b89\u5bfa\u30af\u30ea\u30cb\u30c3\u30af)\" \/><span class=\"wpcf7-list-item-label\">\u5065\u5eb7\u7ba1\u7406\u30bb\u30f3\u30bf\u30fc\u5927\u5b89\u5bfa(\u5ca1\u5c71\u5e02\u5317\u533a\u5927\u5b89\u5bfa\u5357\u753a2-9-21 \u6df3\u98a8\u4f1a\u5927\u5b89\u5bfa\u30af\u30ea\u30cb\u30c3\u30af)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"venue\" value=\"\u5065\u5eb7\u7ba1\u7406\u30bb\u30f3\u30bf\u30fc\u5009\u6577(\u5009\u6577\u5e02\u9023\u5cf63-1-19 \u6df3\u98a8\u30b9\u30af\u30a8\u30a2)\" \/><span class=\"wpcf7-list-item-label\">\u5065\u5eb7\u7ba1\u7406\u30bb\u30f3\u30bf\u30fc\u5009\u6577(\u5009\u6577\u5e02\u9023\u5cf63-1-19 \u6df3\u98a8\u30b9\u30af\u30a8\u30a2)<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"venue\" value=\"\u4e73\u304c\u3093\u691c\u67fb\u7279\u5225\u5272\u5f15\u30af\u30fc\u30dd\u30f3\u53d7\u5165\u4f1a\u5834\" \/><span class=\"wpcf7-list-item-label\">\u4e73\u304c\u3093\u691c\u67fb\u7279\u5225\u5272\u5f15\u30af\u30fc\u30dd\u30f3\u53d7\u5165\u4f1a\u5834<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t<\/tbody>\n<\/table>\n<div data-id=\"venue-hope02\" data-orig_data_id=\"venue-hope02\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t<table class=\"table-01 table-border-none\">\n\t\t<tbody>\n\t\t\t<tr class=\"hope-day-box\">\n\t\t\t\t<th class=\"need\" scope=\"row\">\n\t\t\t\t\t<p>\u53d7\u8a3a\u5e0c\u671b\u65e5\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/th>\n\t\t\t\t<td>\n\t\t\t\t\t<div class=\"hope-day-item03\">\n\t\t\t\t\t\t<div class=\"satellite-venue\">\n\t\t\t\t\t\t\t<p class=\"hope-day-ttl\">\u4e73\u304c\u3093\u691c\u67fb\u7279\u5225\u5272\u5f15\u30af\u30fc\u30dd\u30f3\u3092\u3054\u5229\u7528\u306e\u65b9\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"menu-411\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"menu-411\"><option value=\"\">&#8212;\u4ee5\u4e0b\u304b\u3089\u9078\u629e\u3057\u3066\u304f\u3060\u3055\u3044&#8212;<\/option><option value=\"OC-11 3\u670818\u65e5(\u6c34) \u6771\u5ca1\u5c71\u30c6\u30af\u30ce\u30bb\u30f3\u30bf\u30fc\">OC-11 3\u670818\u65e5(\u6c34) \u6771\u5ca1\u5c71\u30c6\u30af\u30ce\u30bb\u30f3\u30bf\u30fc<\/option><option value=\"OS-11 3\u670816\u65e5(\u6708) \u5ca1\u5c71\u5357\u5546\u5de5\u4f1a \u7058\u5d0e\u652f\u6240\">OS-11 3\u670816\u65e5(\u6708) \u5ca1\u5c71\u5357\u5546\u5de5\u4f1a \u7058\u5d0e\u652f\u6240<\/option><option value=\"TM-8 3\u670812\u65e5(\u6728) \u7389\u91ce\u7523\u696d\u632f\u8208\u30bb\u30f3\u30bf\u30fc\">TM-8 3\u670812\u65e5(\u6728) \u7389\u91ce\u7523\u696d\u632f\u8208\u30bb\u30f3\u30bf\u30fc<\/option><\/select><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t<\/tbody>\n\t<\/table>\n<\/div>\n<div data-id=\"venue-hope01\" data-orig_data_id=\"venue-hope01\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t<table class=\"table-01 table-border-none\">\n\t\t<tbody>\n\t\t\t<tr class=\"hope-day-box\">\n\t\t\t\t<th class=\"need\" scope=\"row\">\n\t\t\t\t\t<p>\u53d7\u8a3a\u5e0c\u671b\u65e5\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/th>\n\t\t\t\t<td>\n\t\t\t\t\t<div class=\"patrol-day-item02\">\n\t\t\t\t\t\t<div class=\"date-list\">\n\t\t\t\t\t\t\t<p class=\"patrol-day-ttl\">\u65bd\u8a2d\u53d7\u8a3a\u3092\u3054\u5e0c\u671b\u306e\u65b9\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<p><span class=\"date-label\">\u7b2c1\u5e0c\u671b<\/span><span class=\"calendar\"><span class=\"wpcf7-form-control-wrap\" data-name=\"preferred-date-1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required use-datepicker\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"preferred-date-1\" \/><\/span><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<p><span class=\"date-label\">\u7b2c2\u5e0c\u671b<\/span><span class=\"calendar\"><span class=\"wpcf7-form-control-wrap\" data-name=\"preferred-date-2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required use-datepicker\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"preferred-date-2\" \/><\/span><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<p><span class=\"date-label\">\u7b2c3\u5e0c\u671b<\/span><span class=\"calendar\"><span class=\"wpcf7-form-control-wrap\" data-name=\"preferred-date-3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required use-datepicker\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"preferred-date-3\" \/><\/span><\/span><br \/>\n<span class=\"sub-txt look-red\">\u203b\u80c3\u90e8\u691c\u67fb\uff08X \u7dda\u30fb\u30ab\u30e1\u30e9\uff09\u307e\u305f\u306f\u8179\u90e8\u8d85\u97f3\u6ce2\u691c\u67fb\u304c\u3042\u308b\u65b9\u4ee5\u5916\u306f\u3001\u5348\u5f8c\u67a0\u3068\u306a\u308a\u307e\u3059\u3002<\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t<\/tbody>\n\t<\/table>\n<\/div>\n<table class=\"table-01 table-border-none\">\n\t<tbody>\n\t\t<tr>\n\t\t\t<th class=\"need top\" scope=\"row\">\n\t\t\t\t<p>\u3054\u9023\u7d61\u5148\uff08\u643a\u5e2f\u96fb\u8a71\uff09\n\t\t\t\t<\/p>\n\t\t\t<\/th>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"tel\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel only-number\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tel\" \/><\/span><span class=\"sub-txt\">\u203b\u30cf\u30a4\u30d5\u30f3\u4e0d\u8981\u3001\u534a\u89d2\u6570\u5b57\u3067\u5165\u529b\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><span class=\"look-red sub-txt\">\u203b\u6298\u308a\u8fd4\u3057\u306e\u3054\u6848\u5185\u306b\u4f7f\u7528\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u307e\u3059\u306e\u3067\u3001\u643a\u5e2f\u96fb\u8a71\u756a\u53f7\u306e\u3054\u5165\u529b\u306b<br \/>\n\u3054\u5354\u529b\u3092\u304a\u9858\u3044\u3057\u307e\u3059\u3002<\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<th class=\"no-need top\" scope=\"row\">\n\t\t\t\t<p>\u305d\u306e\u4ed6\u3054\u9023\u7d61\u5148\n\t\t\t\t<\/p>\n\t\t\t<\/th>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"type\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"type\" value=\"\u81ea\u5b85\" \/><span class=\"wpcf7-list-item-label\">\u81ea\u5b85<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"type\" value=\"\u4f1a\u793e\" \/><span class=\"wpcf7-list-item-label\">\u4f1a\u793e<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"type\" value=\"\u643a\u5e2f\" \/><span class=\"wpcf7-list-item-label\">\u643a\u5e2f<\/span><\/label><\/span><\/span><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"other\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel only-number\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"other\" \/><\/span><span class=\"sub-txt\">\u203b\u30cf\u30a4\u30d5\u30f3\u4e0d\u8981\u3001\u534a\u89d2\u6570\u5b57\u3067\u5165\u529b\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<th class=\"need top\" scope=\"row\">\n\t\t\t\t<p>\u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9\n\t\t\t\t<\/p>\n\t\t\t<\/th>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"mail-check\"><span class=\"wpcf7-form-control-wrap\" data-name=\"mail-check\"><span class=\"wpcf7-form-control wpcf7-radio mail-btn\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"mail-check\" value=\"\u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9\u3092\u6301\u3063\u3066\u3044\u308b\" \/><span class=\"wpcf7-list-item-label\">\u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9\u3092\u6301\u3063\u3066\u3044\u308b<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"mail-check\" value=\"\u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9\u3092\u6301\u3063\u3066\u3044\u306a\u3044\" \/><span class=\"wpcf7-list-item-label\">\u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9\u3092\u6301\u3063\u3066\u3044\u306a\u3044<\/span><\/label><\/span><\/span><\/span><\/span><span class=\"your-email\"><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-text wpcf7-validates-as-email input-long mail-txt\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span><\/span><span class=\"sub-txt\">\u203b\u304a\u7533\u3057\u8fbc\u307f\u306e\u691c\u67fb\u5185\u5bb9\u306b\u3064\u3044\u3066\u3001\u3054\u9023\u7d61\u3055\u305b\u3066\u3044\u305f\u3060\u304f\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<th class=\"no-need start\" scope=\"row\">\n\t\t\t\t<p>\u5099\u8003\n\t\t\t\t<\/p>\n\t\t\t<\/th>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"\u3054\u8981\u671b\u304c\u3042\u308c\u3070\u3054\u5165\u529b\u304f\u3060\u3055\u3044\" name=\"your-message\"><\/textarea><\/span><span class=\"sub-txt look-red\">\u203b\u88ab\u6276\u990a\u8005\u30fb\u914d\u5076\u8005\u306e\u65b9\u306f\u3001\u88ab\u4fdd\u967a\u8005\u306e\u65b9\u306e\u304a\u52e4\u3081\u5148\u3068\u3001<br \/>\n\u53d7\u8a3a\u30ad\u30c3\u30c8\u767a\u9001\u5148\u60c5\u5831\u3092\u3054\u8a18\u5165\u304f\u3060\u3055\u3044\u3002<\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t<\/tbody>\n<\/table>\n<div class=\"txt-center\">\n\t<p class=\"confirm-txt\">\n\t<\/p>\n\t<p><br \/>\n<input class=\"wpcf7-form-control wpcf7-submit has-spinner btn_send\" type=\"submit\" value=\"\u30d7\u30e9\u30a4\u30d0\u30b7\u30fc\u30dd\u30ea\u30b7\u30fc\u306b\u540c\u610f\u3057\u3066\u9001\u4fe1\" \/>\n\t<\/p>\n\t<p><a href=\"https:\/\/junpukai.or.jp\/health\/privacy\/\">\u30d7\u30e9\u30a4\u30d0\u30b7\u30fc\u30dd\u30ea\u30b7\u30fc\u306f\u3053\u3061\u3089<\/a>\n\t<\/p>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\r\n<\/div>","protected":false},"excerpt":{"rendered":"Web\u7533\u3057\u8fbc\u307f\u30fb\u304a\u554f\u3044\u5408\u308f\u305b \u3010\u6cd5\u4eba\u7528\u3011\u5065\u6d3b\u30b5\u30ed\u30f3 \u30aa\u30d7\u30b7\u30e7\u30f3\u691c\u67fb \u3010\u500b\u4eba\u7528\u3011\u7533\u8fbc\u307f\u30d5\u30a9\u30fc\u30e0 \u5f8c\u65e5\u3001\u6df3\u98a8\u4f1a\u306e\u55b6\u696d\u62c5\u5f53\u8005\u3088\u308a\u3054\u9023\u7d61\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u307e\u3059\u3002 \u9001\u4fe1\u524d\u306b\u30c9\u30e1\u30a4\u30f3\u6307\u5b9a\u53d7\u4fe1\u7b49\u306e\u8a2d\u5b9a\u3092\u78ba\u8a8d\u3057\u3066\u304f\u3060\u3055\u3044\u3002\u30c9\u30e1\u30a4\u30f3\u6307\u5b9a\u53d7\u4fe1\u3092 [&hellip;]","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":9,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1261","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/junpukai.or.jp\/health\/wp-json\/wp\/v2\/pages\/1261","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/junpukai.or.jp\/health\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/junpukai.or.jp\/health\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/junpukai.or.jp\/health\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/junpukai.or.jp\/health\/wp-json\/wp\/v2\/comments?post=1261"}],"version-history":[{"count":18,"href":"https:\/\/junpukai.or.jp\/health\/wp-json\/wp\/v2\/pages\/1261\/revisions"}],"predecessor-version":[{"id":3140,"href":"https:\/\/junpukai.or.jp\/health\/wp-json\/wp\/v2\/pages\/1261\/revisions\/3140"}],"wp:attachment":[{"href":"https:\/\/junpukai.or.jp\/health\/wp-json\/wp\/v2\/media?parent=1261"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}