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הרשמה לפרוייקט - "מנטורים צעירים"
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שם המנטור/ית
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שם משפחה
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גיל
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כיתה
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שם בית הספר
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טלפון נייד
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דוא"ל
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טלפון נייד - הורים
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דוא"ל - הורים
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