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讀心神探 報名表格
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上課日期
24/3,31/3,14/4,21/4,28/4,5/5,12/5,19/5,2/6,9/6/2023 (全期共十節)
兒童姓名：
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Your answer
是否曾經在本中心進行評估或訓練：
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是
否
電子郵件：
*
請填寫有效電子郵件,中心將會寄出確認電郵
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性別：
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男
女
出生日期：
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MM
/
DD
/
YYYY
年齡：
*
Your answer
就讀中心/學校名稱 (班別)：
*
Your answer
通訊地址：
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日間聯絡電話/手提：
*
Your answer
請家長簡述孩童(在家中/學校)的關注事項：
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