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梅苓meiling國際打擊樂 - 台北內湖教室
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2024爵士鼓冬令營報名表
此表格資料僅為課程諮詢聯絡專用,不移作其他用途,請放心填寫。
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* Indicates required question
學員姓名
*
Your answer
學員出生年月日
*
MM
/
DD
/
YYYY
上課期別 (每期5天 / 共7.5小時)
*
01/22 (一) ~ 01/26 (五)
01/29 (一) ~ 02/02 (五)
Required
上課時段 (可複選)
*
09:00~10:30
10:30~12:00
13:00~14:30
14:30~16:00
Required
家長姓名
*
Your answer
聯絡電話
*
Your answer
聯絡地址
*
Your answer
聯絡時間
*
下午 2:00-5:00
晚上 5:00-9:00
以上皆可
Email (選填)
Your answer
消息來源
*
梅苓官網/FB粉絲專頁
內湖官網/FB粉絲專頁
朋友介紹
網路搜尋/FB廣告
路過/教室招牌
其他
Required
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