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110學年度晨光機器人社團活動報名表
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學生姓名
*
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開學後的年級班別
*
請填x年x班，例如4年12班
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學生開學後是否有參加其他社團或校隊（國樂、口琴、合唱、田徑、泳隊、羽球，不含放學後之課後社團）
*
是
否
家長姓名
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家長聯絡電話
手機請填09xx-xxxxxx
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