「優遊臺中學」臺中市城市共通課程
填表時間即日起至1/16,錄取名單將於1/18(五)早上公告於http://www3.cmsh.tc.edu.tw。原則上每校最多錄取3名,若有餘額得超過3名。
就讀學校名稱
Your answer
科別(若就讀高中則填普通科)
Your answer
年級
Your answer
班級
Your answer
座號
Your answer
姓名
Your answer
聯絡電話(例:04-12345678或0918123456)
Your answer
Email:(例:abc@def.com.tw)
Your answer
緊急聯絡人(例:父、吳忠明)
Your answer
緊急聯絡人電話(例:0412345678或0918123456)
Your answer
其他建議
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms