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永康國小親職教育講座-建立學習型家庭 報名表
111.02.19教育優先區講座（本場次講座因應疫情隨時做滾動式修正，務必留下正確聯絡資訊 感謝）
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家長姓名
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貴子弟班級（例601、白兔班）
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貴子弟姓名
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聯絡電話（例09**-******）
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是否完成2劑疫苗施打（配合防疫，需施打2劑才開放參加）
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疫苗施打日期（例10/01、12/05）
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講師資訊
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