東港東隆宮大漢樂團舊學員編組登記
請舊學員登記填表，家長可代為填寫。
因應祭典活動，調整編組，若未辦理登記者視同放棄，謝謝您！
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出生年ex:(國曆.民國)98.5.20 *
家長姓名 *
家長聯絡電話 *
地址(紙本郵件地址) *
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