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2016ワッカフレンズ応募フォーム
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お名前
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子どもの名前(年齢)
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【例】さき(5)、ひな(2)
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住所
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携帯電話番号
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メールアドレス
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趣味・特技
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11/21(月)説明会の出欠について
出席
欠席
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Facebook・Twitter・ブログをやっていればIDやURLを教えてください。
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メッセージをお願いします♪
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