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小紅帽的反擊報名表
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我的名子
*
Your answer
我的性別
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男生
女生
其他
連絡電話
*
Your answer
年齡
*
18歲以下
19-24歲
25-34歲
35-44歲
45-54歲
55-64歲
65歲以上
我的電子信箱
Your answer
我需要臨托服務
*
需要
不需要
臨托孩子的名子是
Your answer
臨托孩子的年齡是
Your answer
您對講座的期待是
Your answer
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