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112學年度苗栗縣立建國國中慈輝分校參訪活動
報名表
時間:
113年5月3日(週五)上午09:30至11:40
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聯絡人及職稱
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參訪人數（請填寫教師、家長、學生或社工各人數）
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請填寫各參加人員姓名與職稱（例： 劉小華 /八年級學生； 王大明/專輔老師；張阿友/家長...）
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