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第12屆太陽小博士假日小小解說員培訓報名表
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學員姓名:
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Your answer
性別:
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男
女
學校名稱:
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Your answer
年級:
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四年級
五年級
六年級
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出生年月日
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MM
/
DD
/
YYYY
身分證字號:
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聯絡地址(請加上郵遞區號)
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緊急聯絡人
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Your answer
緊急聯絡人電話
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Your answer
用餐
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葷食
素食
是否為低收入戶家庭
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是
否(至郵局寄現金袋(家長同意書+報名費))
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