姓名 |
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性別 |
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身分證字號
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出生年月日
(保險用) |
年 月 日 |
聯絡電話 |
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聯絡地址 |
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<SPAN lang=EN-US style="FONT-FAMILY: " LINE-HEIGHT: COLOR: Roman?; New Times 28px? rgb(95,51,0);>EMAIL |
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葷<SPAN lang=EN-US style="FONT-FAMILY: " LINE-HEIGHT: COLOR: Roman?; New Times 28px? rgb(95,51,0);>/素<SPAN lang=EN-US style="FONT-FAMILY: " LINE-HEIGHT: COLOR: Roman?; New Times 28px? rgb(95,51,0);> |
□葷 □奶蛋素 □素 (本活動以提供蔬食為主) |
緊急聯絡人<SPAN lang=EN-US style="FONT-FAMILY: " LINE-HEIGHT: COLOR: Roman?; New Times 28px? rgb(95,51,0);> |
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聯絡人電話 |
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分組意願<SPAN lang=EN-US style="FONT-FAMILY: " LINE-HEIGHT: COLOR: Roman?; New Times 28px? rgb(95,51,0);> |
□製簫組 □吹奏組
依學員興趣可選擇一至二組 |
國樂經驗<SPAN lang=EN-US style="FONT-FAMILY: " LINE-HEIGHT: COLOR: Roman?; New Times 28px? rgb(95,51,0);> |
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<P style="FONT-SIZE: 16px; FONT-FAMILY: " initial? text-decoration-color: initial; text-decoration-style: 0px; -webkit-text-stroke-width: normal; font-variant-caps: font-variant-ligatures: TEXT-INDENT: rgb(245,229,180); BACKGROUND-COLOR: PADDING-RIGHT: 28px; LINE-HEIGHT: LETTER-SPACING: 2; WIDOWS: ORPHANS: 0pt; 0cm MARGIN: PADDING-LEFT: PADDING-TOP: left; TEXT-ALIGN: FONT-STYLE: PADDING-BOTTOM: rgb(157,122,58); COLOR: 400; FONT-WEIGHT: none; TEXT-TRANSFORM: WORD-SPACING: WHITE-SPACE: u5b8bu4f53; simsun, Helvetica, Arial, GB?, Sans ?Hiragino W3?, GB Hiragino>