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子育て支援講座予約
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おこさまのお名前(漢字+ふりがな) *
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予約をしたい日程をお選びください *
参加人数 (記入例・大人1名 子ども1名)  *
看病するときに何かお困りのことがあればご記入下さい。(任意)
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