109年度西湖國小生態資訊營隊進階班報名

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姓名 *

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學校 *

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年級 *

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初階班的編號 *

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身分證字號 *

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生日 *

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性別 *

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聯絡電話 *

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email(營隊與你聯繫使用，請注意一定要正確) *

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