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足の健康フェスタ（日吉）お申し込みフォーム
10月1日（土）の足の計測・相談会にご参加をご希望の方は、ご入力してください。
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お申し込みされる方のお名前
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お子様の年齢
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ご希望の時間帯
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午前の部 10:00~11:30 ( 9:50受付開始)
午後の部 12:30~14:00 (12:20受付開始)
お子様の足についてのお悩みやご質問が御座いましたら、ご記入ください。
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