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「ITサマースクール in JOETSU」参加申込
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名前(フリガナ)
例:上越太郎(ジョウエツタロウ)
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性別
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男
女
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年齢
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学校と学年
(例：ABC小学校4年生)
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住所
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電話番号
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メールアドレス
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保護者氏名(フリガナ)
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続柄と緊急連絡先
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特記事項
・アレルギーや持病など注意すべき点があれば記入ください
・応募者が多数のときは抽選とします。
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