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14:30～英語体験授業申込票（中学校）
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受講者氏名（ふりがな）
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※例）そうか たろう
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受講者氏名（漢字）
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※例）創価 太郎
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学年
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※例）小学４年
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同伴者（受講者は除く）の人数
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※例）１人
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連絡先（保護者）
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※例）０９０－１２３４－５６７８
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