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令和6年度「ぴよぴよルーム」の申し込み
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お子様のお名前
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お名前のふりがな
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保護者様のお名前
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お名前のふりがな
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お子様の生年月日
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MM
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DD
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YYYY
ご自宅の郵便番号
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ご自宅の住所
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電話番号
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兄姉で、在園児または卒園児がいる場合は、お名前をご記入ください。
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