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新コース選手育成コース入会申し込みフォーム
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Email
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選手氏名
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選手名フリガナ
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選手性別
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男性
女性
選手生年月日
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MM
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DD
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YYYY
通学小学校
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保護者名
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保護者名フリガナ
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住所 郵便番号より記載下さい
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連絡先（※必ず連絡のつく連絡先をご記入下さい）
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質問
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