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費登奎斯®新生報名表
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姓名
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性別
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出生年月日 (例: 1968,03,28)
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Email
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行動電話
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聯絡住址 (第一行)
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聯絡住址 (第二行)
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facebook
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職業
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報名課程 ＆ 匯款金額
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填寫報名表以及完成轉帳後,將收到報名成功回信。為確保每位學員權益，報名後三日尚未匯款者，系統將自動剔除名單，順位遞補。如錯過匯款時間請來信
taiwan.feldenkrais.center@gmail.com
或來電 0975-175-349 洽詢是否仍有名額，如有空額再重新填寫報名表及轉賬，謝謝!
2016年3月 入門課 (新台幣6,000元整)
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若已匯款者請註明匯款日期,時間,以及帳號後5碼,我們將於收到匯款後三天內回覆確認信
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請敘述想上課的原因,有興趣的方向,目前所遭遇的困難或身心上的不適,或對於此課程的期待
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特殊照護或需求 (如:行動不便...)
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請問您是從何處得到本工作坊訊息？
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問題
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備註
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費登奎斯®身心教育課程被歸類為身心學(Somatic Education),並非治療或醫療,如有健康上之疑慮,請於上課前詢問醫師,同意者請簽名
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