This a simple guide for foreigners from a first timer. Please note that this isn't a comprehensive or correct guide by any means, so please do not take it as such.
I suggest taking with you at least two towels (small for a quick dry and large for body), money to pay and 100yen coin for the locker inside -- other coin operated machines are also available so taking some 10/100yen coins with you might not be a bad idea. Shampoo and body soap was provided and there were hair driers available (coin operated). Towels are also available for rent.
Take your shoes off before stepping inside, preferably by standing just by side of the tatami and stepping out of your shoes on the tatami. Leave your shoes on the locker (shoes go in the locker, close the door and take the wooden key out to lock the door). You pay at the machine. Google Translate is your friend but basically you either choose bath (around 500yen) or bath + sauna (around 1000 yen). Take the ticket and your change (you need to push the flashing light beside the change compartment). From what I experienced, sauna ticket isn't enforced in any way so it's more of a moral thing to pay what you are going to use. So if you are going to visit the sauna section, please pay for it beforehand. Next you take your ticket and your shoelocker key to the counter and you will receive your paper armband with the same number as your shoelocker had (Do not cut or remove this!!) Then you head inside.
I didn't buy or rent anything other than bath + sauna and the armband thing was the only thing I received at the counter.
Inside there was a quick guide on how to best enjoy traditional japanese spa and this was also available in english which was useful.
I have a bad eyesight so if there were any other instructions, I simply didn't see them
Pick an available locker (operates with 100 yen coin) and put all your clothes etc. in the locker. You will want to take small towel and any other items you want to use inside the spa area such as conditioner (which isn't provided for free). Step inside butt naked and put your towel etc. on the shelf left to you.
Wash yourself completely before heading to the pools (which there were several) or the sauna section. Place the small tub below the tap and fill it with water. Rinse yourself and wash yourself (body soap and shampoo provided). Remember to clean your seat before leaving and turn the tub around.
Before heading out remember rinse and was yourself again. Use the small towel to dry yourself before going inside so you wouldn't bring water inside.
Show your armband at the counter to receive your shoelocker key back.
I left many thing out put with this short guide you should be able to "survive" your first japanese spa experiense without looking a complete kaijin (outsider). Please note that this was my experiense and things may have changed...
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