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112學年度下學期湖東國小親職教育講座報名表
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報名參加家長姓名(例:陳大一)
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小孩當天是否一起出席(我們將開設一間教室，供學童觀賞影片)
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是
否
學生班級姓名(例:一5陳小五)
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學生班級姓名(如有第二位小朋友)
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學生班級姓名(如有第三位小朋友)
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您有親職教養相關問題嗎？歡迎提出您的困擾，我們將視活動狀況請講師回答您的疑惑，感謝您的配合!!!
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您有其他事項需聯絡嗎？(請在下面留言)
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