The Myopia Week 2026
Registration Form

Please make sure that you will fill in the sections marked *.

If you have any questions, please contact the following.

The Myopia Week 2026 Conference Coordinator
c/o Daisuke Kurauchi
DO CONVENTION INC.
5F, 2-23 Kanda Awajicho, Chiyodaku Tokyo 101-0063
myopia2026-office@umin.ac.jp
https://myopia2026.umin.ne.jp/en/index.html

Contact Information

Name*
Affiliation*	Since it will be printed on a name card, please use abbreviations and keep it as short as possible.
Postal code*
Street/Town*
City*
Pref/State*
Country*
TEL*
FAX
E-mail address*
Re-enter E-mail address*
Password*	(Password must be 4 characters or more)
Re-enter Password*

Registration


Early-bird Rate* Until May 1, 2026 ※	Full registration - JPY 21,000.
	Orthoptist/residents/PhD students/paramedics - JPY 6,000.

	Student - FREE ※※
Name on the receipt	* If blank, affiliation which you entered above will be appeared on the receipt.
Upload Student ID*	* Please be sure to upload your student ID card if you choose to be a student. * Please select a file with a 「pdf」,「jpg」,「jpeg」,「png」 file format.

※Japan Standard Time
※※Students must submit a copy of their student ID card.
Please upload a copy of your student ID card to the registration system.
Your registration will not be complete if we cannot verify the upload of your student ID card.

Payment Method

Payment Method*	Credit Card Free

The Myopia Week 2026 Registration Form

The Myopia Week 2026
Registration Form