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福岡定例会&交流会託児申込み
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Email
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代表者お名前
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連絡先(携帯電話)
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お子さんのお名前
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お子さんのお名前(ふりがな)
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お子さんの性別
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お子さんの年齢(○歳○ヶ月)
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診断名(あれば)
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アレルギーの有無
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トイレの注意
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好きな遊び
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コミニュケーションの程度
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その他の注意事項
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