Office use only

Month / Day/ Year5700 Wilshire Blvd., Suite 100 Los Angeles, CA 90036
Tel: (323) 761-7510 Fax: (323) 761-7517 jflainfo@jflalc.org

Rental Exhibition Application Form
Please check the item(s) you would like to borrow.
Japanese Toys:□ Traditional Toys □ Wooden Toys □ Edo and Bamboo Toys □ New Year Toys
□ Japan in a Box□ Kamishibai (Please also indicate the title(s) of kamishibai you would like to borrow in page3. )□ Portable stage for kamishibai

Organization Name:
Authorized Official’s Name:
Contact Name:
Address:
Phone Number:Fax Number:
Email Address:
UPS/ FedEx Account Number:
Purpose of use:

Estimated Audience Size:
Requested Exhibition Datesst

1 choice:
2ndchoice:rd3 choice:Do you need some photos in advance for publicity?

□ Yes / □ No1

Terms & Conditions for use of Japan Foundation rental items
1. All items are to be used solely for educational and/or non-commercial purposes.
2. The renter institution is responsible for submitting two damage reports to the Japan Foundation.
3. Each item is to be returned in its original condition. Any damages to, and/or loss of the item(s) during therental period (from their arrival at the institution until their departure from the institution) will be compensated by
the institution or insurance company of the institution’s choice.
4. The institution shall bear all shipping-related costs of the item(s) to and from the designated address of theJapan Foundation, Los Angeles.
5. Should the institution choose to insure the rented items, the institution shall bear all insurance-related costs.
6. When insuring the items for shipping, the Japan Foundation, Los Angeles will determine the value of theitems being shipped.
7. In the case any damages caused to the item(s) and/or loss of the item(s) during shipping, the institution isresponsible for contacting the shipping company.
8. The institution must notify the Japan Foundation, Los Angeles of the tracking number for the shipment.
9. The institution is required to submit a final report to the Japan Foundation, Los Angeles after the conclusion ofthe exhibition along with some photos.
10. Duplication of the item(s) is strictly prohibited.
11. Television broadcasting of these materials is strictly prohibited without the prior consent of the JapanFoundation, Los Angeles.
12. The institution shall give credit to the Japan Foundation for the loan in the program and/or printed materials.
Any printed material(s) must be submitted in advance to the Japan Foundation, Los Angeles.

I hereby agree to use the aforementioned item(s) in accordance with the above Terms and Conditions.

Authorized Official’s Name (please print)

Date2

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Awatenai awatenai : inochi o mamoru bosai kamishibai
あわてないあわてない (Japanese only)
The bamboo princess
かぐやひめ□□□□□□

Chibizo no maki : Robot Kamii
ちびぞうのまき(Japanese only)
Dragon's tears = ryu no me no namida
りゅうの目のなみだ
Geki asobi no maki : Robot Kamii
げきあそびのまき(Japanese only)
Gokigen no warui kokku-san / kyakuhon
ごきげんのわるいコックさん□□□□□

Gongitsune Kon to kodanuki Pon
こぎつねコンとこだぬきポン□Nobara : heiwa kamishibaiのばら (Japanese only)
Ogre who sank down to the bottom of the sea = umini
shizunda oni
うみにしずんだおにOkaasan madakana
おかあさんまだかな
Okaasan no hanshi
おかあさんのはなし(Japanese only)
Okeya no ten nobori
おけやのてんのぼり
Okiku okiku okiku nare : eigoban = Grow grow growbigger
おおきくおおきくおおきくなあれ
The old man and mice
ねずみちょうじゃ□

Goshigoshigoshi
ごしごしごし(Japanese only)□Omiseyasan gokko no maki : Robot Kamii
おみせやさんごっこのまき(Japanese only)

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Hai!
はい！
Hanasaka jiisan
はなさかじいさん
Hats for the jizos = kasa jizo
かさじぞう
Henshi～n : 5 no gattai
へんしーん 5 の合体
Hiyokochan
ひよこちゃん
Honehone ho! : kamishibai karada te sugoi
ほねほね・・・ほ！(Japanese only)
How the witch was easten up = taberareta yamanba
たべられたやまんば
Jisama to kitsune
じいさまときつね
Kariyushi no umi : kodomo sanka
かりゆしの海 (Japanese only)
The kind friends = Yasashii otomodachi. (Eigo ban)
やさしいおともだち
Koneko no shiro chan
こねこのしろちゃん
Momotaro, the peach boy
ももたろう□
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The Monkey and the crab
さるとかにThe Mother cat = Neko no okaasan
ねこのおかあさん
The mouse's wedding
ねずみのよめいり
Nido to : heiwa kamishibai
二度と (Japanese only)□□□□

Omusubi kororin : kamishibai mukashibanashi, dai 2 shu
おむすびころりん
The One-inch boy = Issun boshi
いっすんぼうしOtamajakushi no 101chan
おたまじゃくしの 101 ちゃん
Otosan : sumatora no miwa yori
おとうさん スマトラの民話より
Pecha pecha kuchun : 0 no imi, chishiki
ぺちゃぺちゃくっちゅん（0 の意味）(Japanese only)
Robotto no kuni e kaeru no maki : Robot Kamii
ロボットのくにへかえるのまき(Japanese only)
The stofy of tanabata = Tanabata monogatari
たなばたものがたり
Taiyo wa dokokara deruno
太陽はどこからでるの (Japanese & Vietnamese)
Tebukuro o kaini : nihon no meisaku
てぶくろをかいに
Tongue-cut sparrow = shitakiri suzume
したきりすずめ
Urashima Taro
うらしまたろうWhere is apple's home? = Ringo kun no ouchi wadoko? : eigo ban
りんごくんのおうちはどこ？
Who's their friend? = Tomodachi dare? : eigo ban
ともだちだーれ？
Yoisho yoisho
よいしょよいしょHow the years were named = rainen wa nanidoshi?
らいねんはなにどし？
Tokyo eki marunouchi ekisha hozon, fukugen =Preservation and restoration of Tokyo Station
Marunouchi Building
東京駅丸の内駅舎 保存、復元□Niji ni natta kitsune : mukashi banashiにじになったきつね (Japanese only)

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