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翼DREAM(スポーツ教室)申し込み
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学校、幼稚園、保育園の名前
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所在地(住所)
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ご担当者様のお名前
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ご担当者様のお名前(フリガナ)
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電話番号
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参加希望の学年・参加するおおよその人数
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希望日・時間
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質問などがあればご記入下さい
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