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華揚醫院 兒童體適能報名表
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基本資訊
家長姓名
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連絡電話
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兒童姓名
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兒童生日
MM
/
DD
/
YYYY
報名時段
週三17:00-18:00
週五19:00-20:00
匯款資訊
銀行：玉山銀行(806)
帳號：02810630659479
匯款銀行及後五碼(例如:郵局700+12345)
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小朋友有什麼需要老師特別注意的事項嗎?(例如:曾有癲癇、曾骨折、或有其他特殊疾病及需求)
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