2022銘傳寒假建築營【築軒】報名表
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學員姓名 *
性別 *
學員身分證字號 *
電子郵件地址 *
就讀學校、年級 *
學員連絡電話 *
緊急連絡人姓名 *
與緊急連絡人之關係(ex.父子) *
緊急連絡人身分證字號 *
緊急連絡人電話 *
聯絡地址 *
睡袋提供需求 *
用餐餐點 *
與哪兩位同學共同團報?
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