{"id":901,"date":"2020-02-07T20:42:43","date_gmt":"2020-02-07T11:42:43","guid":{"rendered":"http:\/\/uzushio-racing.com\/?page_id=901"},"modified":"2024-03-04T19:51:44","modified_gmt":"2024-03-04T10:51:44","slug":"%e3%83%a6%e3%83%bc%e3%82%b6%e3%83%bc%e7%99%bb%e9%8c%b2","status":"publish","type":"page","link":"https:\/\/uzushio-racing.com\/?page_id=901","title":{"rendered":"\u30e6\u30fc\u30b6\u30fc\u767b\u9332"},"content":{"rendered":"<div class=\"login_form\">\n<div id=\"wpmem_reg\"><a id=\"register\"><\/a><form name=\"form\" method=\"post\" action=\"https:\/\/uzushio-racing.com\/?page_id=901\" id=\"wpmem_register_form\" class=\"form\"><input type=\"hidden\" id=\"_wpmem_register_nonce\" name=\"_wpmem_register_nonce\" value=\"6a15e94dc7\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F901\" \/><fieldset><legend>\u65b0\u898f\u30e6\u30fc\u30b6\u30fc\u767b\u9332<\/legend><label for=\"username\" class=\"text\">\u30e6\u30fc\u30b6\u30fc\u540d<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"username\" type=\"text\" id=\"username\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"last_name\" class=\"text\">\u59d3<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"last_name\" type=\"text\" id=\"last_name\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"first_name\" class=\"text\">\u540d<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"first_name\" type=\"text\" id=\"first_name\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"furigana_last_name\" class=\"text\">\u30d5\u30ea\u30ac\u30ca\uff08\u59d3\uff09<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"furigana_last_name\" type=\"text\" id=\"furigana_last_name\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"furigana_first_name\" class=\"text\">\u30d5\u30ea\u30ac\u30ca\uff08\u540d\uff09<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"furigana_first_name\" type=\"text\" id=\"furigana_first_name\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"user_gender\" class=\"select\">\u6027\u5225<span class=\"req\">*<\/span><\/label><div class=\"div_select\"><select name=\"user_gender\" id=\"user_gender\" class=\"dropdown\" required ><option value=\"\">---- Select One ----<\/option><option value=\"\u7537\u6027\">\u7537\u6027<\/option><option value=\"\u5973\u6027\">\u5973\u6027<\/option><\/select><\/div><label for=\"billing_postcode\" class=\"text\">\u90f5\u4fbf\u756a\u53f7<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"billing_postcode\" type=\"text\" id=\"billing_postcode\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"billing_state\" class=\"text\">\u90fd\u9053\u5e9c\u770c<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"billing_state\" type=\"text\" id=\"billing_state\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"billing_city\" class=\"text\">\u5e02<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"billing_city\" type=\"text\" id=\"billing_city\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"billing_address_1\" class=\"text\">\u4f4f\u62401<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"billing_address_1\" type=\"text\" id=\"billing_address_1\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"billing_address_2\" class=\"text\">\u4f4f\u62402<\/label><div class=\"div_text\"><input name=\"billing_address_2\" type=\"text\" id=\"billing_address_2\" value=\"\" class=\"textbox\" \/><\/div><label for=\"user_email\" class=\"text\">\u30e1\u30fc\u30eb<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"user_email\" type=\"email\" id=\"user_email\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"confirm_email\" class=\"text\">\u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9\uff08\u78ba\u8a8d\uff09<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"confirm_email\" type=\"email\" id=\"confirm_email\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"billing_phone\" class=\"text\">Phone<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"billing_phone\" type=\"text\" id=\"billing_phone\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"blood\" class=\"text\">\u8840\u6db2\u578b\uff08ABO\uff09<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"blood\" type=\"text\" id=\"blood\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"blood_rh\" class=\"select\">\u8840\u6db2\u578b\uff08RH\uff09<span class=\"req\">*<\/span><\/label><div class=\"div_select\"><select name=\"blood_rh\" id=\"blood_rh\" class=\"dropdown\" required ><option value=\"\">---- Select One ----<\/option><option value=\"RH+\">RH+<\/option><option value=\"RH-\">RH-<\/option><\/select><\/div><label for=\"birthday\" class=\"date\">\u751f\u5e74\u6708\u65e5<span class=\"req\">*<\/span><\/label><div class=\"div_date\"><input name=\"birthday\" type=\"date\" id=\"birthday\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"age\" class=\"number\">\u6e80\u5e74\u9f62<span class=\"req\">*<\/span><\/label><div class=\"div_number\"><input name=\"age\" type=\"number\" id=\"age\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"bibnumber\" class=\"number\">\u5e0c\u671b\u30bc\u30c3\u30b1\u30f3\u30ca\u30f3\u30d0\u30fc<\/label><div class=\"div_number\"><input name=\"bibnumber\" type=\"number\" id=\"bibnumber\" value=\"\" class=\"textbox\" \/><\/div><label for=\"emergency_call_name\" class=\"text\">\u7dca\u6025\u9023\u7d61\u5148\u540d<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"emergency_call_name\" type=\"text\" id=\"emergency_call_name\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"emergency_call_phone\" class=\"text\">\u7dca\u6025\u9023\u7d61\u5148\u96fb\u8a71<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"emergency_call_phone\" type=\"text\" id=\"emergency_call_phone\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"parent_name\" class=\"text\">\u4fdd\u8b77\u8005\u6c0f\u540d\uff08\u672a\u6210\u5e74\u306e\u5834\u5408\u306e\u307f\uff09<\/label><div class=\"div_text\"><input name=\"parent_name\" type=\"text\" id=\"parent_name\" value=\"\" class=\"textbox\" \/><\/div><label for=\"machine_maker\" class=\"text\">\u53c2\u52a0\u8eca\u4e21\uff08\u30e1\u30fc\u30ab\u30fc\u540d\uff09\uff08\u30ec\u30f3\u30bf\u30eb\u306e\u5834\u5408\u306f\u30ec\u30f3\u30bf\u30eb\u3068\u8a18\u5165\uff09<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"machine_maker\" type=\"text\" id=\"machine_maker\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"machine_model_name\" class=\"text\">\u53c2\u52a0\u8eca\u4e21\uff08\u30e2\u30c7\u30eb\u540d\uff09<\/label><div class=\"div_text\"><input name=\"machine_model_name\" type=\"text\" id=\"machine_model_name\" value=\"\" class=\"textbox\" \/><\/div><label for=\"machine_volume\" class=\"text\">\u53c2\u52a0\u8eca\u4e21\uff08\u6392\u6c17\u91cf\uff09<\/label><div class=\"div_text\"><input name=\"machine_volume\" type=\"text\" id=\"machine_volume\" value=\"\" class=\"textbox\" \/><\/div><label for=\"team_name\" class=\"text\">\u30c1\u30fc\u30e0\u540d<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"team_name\" type=\"text\" id=\"team_name\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"last_name_2\" class=\"text\">\u7b2c2\u30e9\u30a4\u30c0\u30fc \u59d3<\/label><div class=\"div_text\"><input name=\"last_name_2\" type=\"text\" id=\"last_name_2\" value=\"\" class=\"textbox\" \/><\/div><label for=\"first_name_2\" class=\"text\">\u7b2c2\u30e9\u30a4\u30c0\u30fc \u540d<\/label><div class=\"div_text\"><input name=\"first_name_2\" type=\"text\" id=\"first_name_2\" value=\"\" class=\"textbox\" \/><\/div><label for=\"furigana_last_name_2\" class=\"text\">\u7b2c2\u30e9\u30a4\u30c0\u30fc \u30d5\u30ea\u30ac\u30ca\uff08\u59d3\uff09<\/label><div class=\"div_text\"><input name=\"furigana_last_name_2\" type=\"text\" id=\"furigana_last_name_2\" value=\"\" class=\"textbox\" \/><\/div><label for=\"furigana_first_name_2\" class=\"text\">\u7b2c2\u30e9\u30a4\u30c0\u30fc \u30d5\u30ea\u30ac\u30ca\uff08\u540d\uff09<\/label><div class=\"div_text\"><input name=\"furigana_first_name_2\" type=\"text\" id=\"furigana_first_name_2\" value=\"\" class=\"textbox\" \/><\/div><label for=\"user_gender_2\" class=\"select\">\u7b2c2\u30e9\u30a4\u30c0\u30fc \u6027\u5225<\/label><div class=\"div_select\"><select name=\"user_gender_2\" id=\"user_gender_2\" class=\"dropdown\"><option value=\"\">---- Select One ----<\/option><option value=\"\u7537\u6027\">\u7537\u6027<\/option><option value=\"\u5973\u6027\">\u5973\u6027<\/option><\/select><\/div><label for=\"billing_postcode_2\" class=\"text\">\u7b2c2\u30e9\u30a4\u30c0\u30fc \u90f5\u4fbf\u756a\u53f7<\/label><div class=\"div_text\"><input name=\"billing_postcode_2\" type=\"text\" id=\"billing_postcode_2\" value=\"\" class=\"textbox\" \/><\/div><label for=\"billing_state_2\" class=\"text\">\u7b2c2\u30e9\u30a4\u30c0\u30fc \u90fd\u9053\u5e9c\u770c<\/label><div class=\"div_text\"><input name=\"billing_state_2\" type=\"text\" id=\"billing_state_2\" value=\"\" class=\"textbox\" \/><\/div><label for=\"billing_city_2\" class=\"text\">\u7b2c2\u30e9\u30a4\u30c0\u30fc \u5e02<\/label><div class=\"div_text\"><input name=\"billing_city_2\" type=\"text\" id=\"billing_city_2\" value=\"\" class=\"textbox\" \/><\/div><label for=\"billing_address_1_2\" class=\"text\">\u7b2c2\u30e9\u30a4\u30c0\u30fc \u4f4f\u62401<\/label><div class=\"div_text\"><input name=\"billing_address_1_2\" type=\"text\" id=\"billing_address_1_2\" value=\"\" class=\"textbox\" \/><\/div><label for=\"billing_address_2_2\" class=\"text\">\u7b2c2\u30e9\u30a4\u30c0\u30fc \u4f4f\u62402<\/label><div class=\"div_text\"><input name=\"billing_address_2_2\" type=\"text\" id=\"billing_address_2_2\" value=\"\" class=\"textbox\" \/><\/div><label for=\"billing_phone_2\" class=\"text\">\u7b2c2\u30e9\u30a4\u30c0\u30fc \u96fb\u8a71\u756a\u53f7<\/label><div class=\"div_text\"><input name=\"billing_phone_2\" type=\"text\" id=\"billing_phone_2\" value=\"\" class=\"textbox\" \/><\/div><label for=\"birthday_2\" class=\"date\">\u7b2c2\u30e9\u30a4\u30c0\u30fc \u751f\u5e74\u6708\u65e5<\/label><div class=\"div_date\"><input name=\"birthday_2\" type=\"date\" id=\"birthday_2\" value=\"\" class=\"textbox\" \/><\/div><label for=\"age_2\" class=\"number\">\u7b2c2\u30e9\u30a4\u30c0\u30fc \u6e80\u5e74\u9f62<\/label><div class=\"div_number\"><input name=\"age_2\" type=\"number\" id=\"age_2\" value=\"\" class=\"textbox\" \/><\/div><label for=\"blood_2\" class=\"text\">\u7b2c2\u30e9\u30a4\u30c0\u30fc \u8840\u6db2\u578b\uff08ABO\uff09<\/label><div class=\"div_text\"><input name=\"blood_2\" type=\"text\" id=\"blood_2\" value=\"\" class=\"textbox\" \/><\/div><label for=\"blood_rh_2\" class=\"select\">\u7b2c2\u30e9\u30a4\u30c0\u30fc \u8840\u6db2\u578b\uff08RH\uff09<\/label><div class=\"div_select\"><select name=\"blood_rh_2\" id=\"blood_rh_2\" class=\"dropdown\"><option value=\"\">---- Select One ----<\/option><option value=\"RH+\">RH+<\/option><option value=\"RH-\">RH-<\/option><\/select><\/div><label for=\"emergency_call_name_2\" class=\"text\">\u7b2c2\u30e9\u30a4\u30c0\u30fc \u7dca\u6025\u9023\u7d61\u5148\u540d<\/label><div class=\"div_text\"><input name=\"emergency_call_name_2\" type=\"text\" id=\"emergency_call_name_2\" value=\"\" class=\"textbox\" \/><\/div><label for=\"emergency_call_phone_2\" class=\"text\">\u7b2c2\u30e9\u30a4\u30c0\u30fc \u7dca\u6025\u9023\u7d61\u5148\u96fb\u8a71<\/label><div class=\"div_text\"><input name=\"emergency_call_phone_2\" type=\"text\" id=\"emergency_call_phone_2\" value=\"\" class=\"textbox\" \/><\/div><script src=\"https:\/\/www.google.com\/recaptcha\/api.js?render=6LfYReEZAAAAACxNFPGSgTUanAEQdq6cKNKygk6R\"><\/script><script>grecaptcha.ready(function () {grecaptcha.execute('6LfYReEZAAAAACxNFPGSgTUanAEQdq6cKNKygk6R', { action: 'contact' }).then(function (token) {var recaptchaResponse = document.getElementById('recaptchaResponse');recaptchaResponse.value = token;});});<\/script><input type=\"hidden\" name=\"recaptcha_response\" id=\"recaptchaResponse\"><input name=\"a\" type=\"hidden\" value=\"register\" \/><input name=\"wpmem_reg_page\" type=\"hidden\" value=\"https:\/\/uzushio-racing.com\/?page_id=901\" \/><div class=\"button_div\"><input name=\"submit\" type=\"submit\" value=\"\u767b\u9332\" class=\"buttons\" \/><\/div><div class=\"req-text\"><span class=\"req\">*<\/span>\u5fc5\u9808\u9805\u76ee<\/div><\/fieldset><\/form><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/uzushio-racing.com\/index.php?rest_route=\/wp\/v2\/pages\/901"}],"collection":[{"href":"https:\/\/uzushio-racing.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/uzushio-racing.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/uzushio-racing.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/uzushio-racing.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=901"}],"version-history":[{"count":2,"href":"https:\/\/uzushio-racing.com\/index.php?rest_route=\/wp\/v2\/pages\/901\/revisions"}],"predecessor-version":[{"id":3680,"href":"https:\/\/uzushio-racing.com\/index.php?rest_route=\/wp\/v2\/pages\/901\/revisions\/3680"}],"wp:attachment":[{"href":"https:\/\/uzushio-racing.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=901"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}