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右近列福式青年宿泊所申し込み
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氏名(ふりがな)
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性別
男
女
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年齢
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所属教会(〇〇教区〇〇教会)
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電話番号
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メールアドレス
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緊急連絡先(本人との関係)
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宿泊予定日
6日晩のみ
7日晩のみ
両日
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その他(連絡事項等)
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