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HBC「媽媽加油站」 報名系統
2022年下
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1.姓名：
*
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2.手機：
*
09xx-xxxxxx
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3.住址：（已報名過過去活動或講座者，3.以下資訊免填，可直接提交）
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4.電子信箱：
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5.生日（民國年/月/日）
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6.您的孩子年紀落在？（可複選）
0~3歲
4~6歲
7~9歲
10~12歲
12~15歲
16~18歲
19歲以上
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