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2020年彰基兒童醫院「早產兒回娘家」報名表
一年一度的早產兒回娘家活動又要開始囉！
活動內容歡迎各位寶貝們把握機會趕快報名喔！
【填表說明】
1.每位寶寶限填一份
2.報名人數限120人，額滿為止。
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Email
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寶寶姓名(每位寶寶單獨填一份)
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出生週數(限36週以下)
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現在年齡
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家長姓名
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聯絡電話
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活動流程表
2019年彰基NICU40歲生日 6年級早產兒回娘家
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