A request from the owner

In order to ensure that we provide our customers with the highest quality food and service, fresh ingredients are carefully selected, purchased and prepared for each customer before customers arrive for their reservation. After confirming food allergies and consideration of preferences, we are dedicated to serving only the freshest and finest ingredients available. In addition to some of the reasons mentioned above, and due to the high volume of reservations as well as overlap with other customers making reservations, we kindly request that customers secure a reservation by paying for their course with a credit card or PayPal before their reservation. We look forward to serving you at our restaurant, and making your time at our restaurant, a special one.

Date of Reservation*

Closed:Wednesdays and Thursdays


 
Time of Reservation*
Number of People*

Menu

 

Lunch

¥8,500 (¥10,285 ) Course

※The prices in parentheses include tax and seating charge. A 10% service charge is required at the time of the reservation.

 

Dinner

¥16,000 (¥19,360) Course

※The prices in parentheses include tax and seating charge. A 10% service charge is required at the time of the reservation.

 

Special Private Room Menu

Special Lunch Course ¥18,500 (¥22,385)Special Dinner Course ¥32,000 (¥38,720)

※Private room available for reservation for 2 to 8 guests
※The prices in parentheses include tax and seating charge. A 10% service charge is required at the time of the reservation.
※If the private room is requested but is unavailable, the special course is available for table seating upon confirmation.

Name*
  • First Name
  • Last Name
Gender
Country*
Hotel Name / Address of place of stay in Japan*
Emergency Contact Phone No.*
E-mail*
E-mail (Confirmation)*
Please check any that apply:*
【1】Someone has a food allergy in the reservation .【2】Someone in the reservation has a food that they dislike.【3】Someone in the reservation has a food that they cannot eat due to religious belief.【4】Everyone in the reservation can eat anything.
Any food allergies or food that can't be eaten, and how many people cannot eat it:

※If anyone in your group has any allergies or special dietary requests, please list in as much detail what foods cannot be eaten and also the number of people that it applies to (if it is not listed then the dietary request will be applied to every member of the group).
※Please note that the restaurant will be unable to accommodate any sudden dietary requests made at the restaurant on the day of your reservation, therefore please make sure to list it here.

Comments and Requests
How did you hear about us?
For those that have visited the restaurant before, please include the approximate date you visited.
Year Month

How to make a reservation

  • 1. An automated confirmation email will be sent to you once the request is submitted.
  • 2. My Concierge Japan will check to see if a reservation can be made on the date/time you requested.
  • 3. If seating is available, an email and URL link will be sent to you from where you can complete payment for your reservation with a credit card or PayPal. Please complete payment within 48 hours. Once payment is confirmed, an email will be sent to you to let you know that your reservation has been finalized.
  • Cancellation policy
    ※For 1-6 guests, a 100% refund is provided for cancellations made at least 3 days before the reservation. 7-9 guests: 100% refund for cancellations made at least 7 days before the reservation. 10-20 guests: 100% refund for cancellation made at least 14 days before the reservation. 21 or more guests (or private reservation of restaurant): 100% refund for cancellation made within 30 days of the reservation.

    Any changes to the reservation date, time, number of people, course, are required to be made within the same time frame listed above.

    Cancellations that will NOT be eligible for a refund:
    1-6 guests: Cancellation made anytime within 2 days of the reservation.
    7-9 guests: Cancellation made anytime within 6 days of the reservation.
    10-20 guests: Cancellation made anytime within 13 days of the reservation.
    21 or more guests (or private reservation of reservation): Cancellation made anytime within 29 days of the reservation.
    ※Additional orders for food and drink can be made at the restaurant and paid for at the restaurant.
    ※Please do not be late for your reservation. Please note that if you are 30 or minutes more late, your reservation will be cancelled and you will be ineligible for a refund or change to a different date or time.

Checklist of 5 questions to keep you safe from COVID-19.*

This is a checklist created in order to keep you and other dining guests, as well as the restaurant staff, safe from the spread of COVID-19. All measures below are strictly required to be kept by all guests and restaurant staff alike. Thank you for your understanding and cooperation.
Please check either of the ☑ below, select the current date and enter your full name.

A. Prior to the reservation date.

  1. I currently have a body temperature of 37.5°or higher.
  2. I have experienced one of the following symptoms in the last 14 days: fever / coughing / breathlessness / fatigue / impaired sense of taste.
  3. I have come in contact with a person who has experienced the above symptoms in the last 14 days.
  4. I have been to a country or area considered a Travel Warning Level 3 by the Ministry of Foreign Affairs of Japan in the last 14 days.
  5. I have been to or attended a facility, event or meeting (excluding public transportation) considered a cluster infection risk in the last 14 days.

I apply to none of the aboveI apply to one or more of the above

B. On the reservation date.

  1. I will wear a mask to the restaurant and will only remove it once I am seated
    YesNo
  2. I will disinfect my hands with the alcohol disinfectant placed at the entrance of the restaurant
    YesNo
  3. I understand social-distancing and the need for sufficient space between seats, and will refrain from actions such as talking too loud or too close to the others
    YesNo
  4. I agree to being refused entry to the restaurant if my body temperature exceeds 37.5°when it is measured by the restaurant staff at the restaurant.
    YesNo

I hereby certify that the above information is true and correct. I agree to cancel my reservation (or be refused entry) if there is any discrepancy regarding the above with any member of my party on the day of the reservation. I fully understand that it is my responsibility to inform all other members of my party of the above and to contact My Concierge Japan in order to facilitate a cancellation or alteration to the reservation if there is any member that applies to one of the points above.
I agree to the Cancellation Policy in regards to refunds due to any cancellation or refusal of entry.

Please check your spam/junk folder. Please also confirm that your email address is correct or you will not receive our emails. After pressing send, you should receive an automated email right away.

By sending this message, I agree to the privacy policy and all of the terms above.