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桃園區同安附幼彩虹班05/23-06/02關懷表單
請家長於停課期間每日晚上10點前上網填寫表單，感謝您的配合!
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幼兒姓名
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日期
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MM
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DD
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YYYY
幼兒今日體溫
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是否有特別健康狀況(ex.發燒、腹瀉、呼吸道疾病等等)
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