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2020年度ふれあいくらぶ申込書 FUREAI Club church school Application Form.
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Email
*
Your email
子どもの名前 Familyname / Firestname of the chilid
*
Your answer
年齢 Age
*
Choose
2歳 years
3歳 years
4歳 years
5歳 years
6歳 (小学1年生) 1st grade
7歳(小学2年生) 2nd grade
8歳(小学3年生) 3rd grade
9歳(小学4年生) 4th grade
10歳(小学5年生) 5th grade
11歳(小学6年生) 6th grade
秘跡 Sacraments ✝
*
未受洗 Unbaptized
受洗済み／初聖体未だ Baptized & Uncommunioned
受洗済み／初聖体済み Baptized & Communioned
保護者氏名 Parents' name 👪
*
Your answer
市 City
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さいたま市 Saitama City
蕨市 Warabi City
川口市 Kawaguchi City
越谷市 Koshigaya City
朝霞市 Asaka City
戸田市 Toda City
Other:
住所 Home address (for postal mail) 🏠
*
区、町、番地、建物名、住居番号など Ward, town, land number, name of building, house nuber etc.
Your answer
電話番号 Phone Number 📞
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Your answer
コメント Comments ✍
Your answer
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