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100年生態資訊營隊初階班學員基本資料
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姓名
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學校
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年級
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四年級
五年級
六年級
生日
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格式為年.月.日(例如:90.02.03)
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身分證字號
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家裡的電話
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緊急聯絡人
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緊急聯絡人手機
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email
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特殊需求(包括健康狀況)
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是否就讀台北市國小資優班
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是
不是
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