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