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線上課程報名表-常態班
如有兄弟姊妹一起報名，請分別填寫，謝謝~
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學生姓名
*
Your answer
聯絡人(可留多位聯絡人)
Your answer
聯絡電話(可留多支電話)
Your answer
LINE ID (加入班級專屬群組使用，以利及時通知或處理網路上課問題) (已加過者免填)
Your answer
報名班級
*
高級段位班
中高級班
初中級班
基礎加強班
桌遊
西洋棋(入門)
西洋棋(進階)
Other:
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