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藝起玩世界線上報名表單
藝起玩世界
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報名日期(請勿重複報名)
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112年03月26日(星期日)08：30-16：00(中高年級)
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學校
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Your answer
姓名
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Your answer
班級
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Your answer
性別
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男生
女生
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身分證字號
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Your answer
出生年月日(例：103年5月9日)
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Your answer
緊急聯絡人
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Your answer
緊急聯絡人電話
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Your answer
居住地址
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Your answer
聯絡信箱(通知書及相關聯絡資訊傳達)
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Your answer
學生用餐
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葷食(營隊免費提供)
素食(營隊免費提供)
自帶便當(活動單位提供蒸飯箱)
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