BeClass 線上報名系統
2021 歲末年終 「不倒翁學校 X 小島職能治療所」健走校友美濃大會師
(2021-12-24)
(報名截止)
※
姓名
Email
※
行動電話
※
身分證字號
※
出生日期
※
飲食需求
葷食
方便素
蛋奶素
全素
※
參加人數
如果超過一人參加請記得再填寫下方的團體報名表唷！
1
2
3
4
其它：
※
預計上車地點
請填寫您預計一起出發的地點，或於「其他」欄位備註您的期待
07:30 台北出發（地點待訂）
10:30 台中中清交流道（暫訂）
11:30 雲林古坑交流道
其它：
※
Line ID
請留下Line id讓我們方便聯絡您
可直接加入小島粉專 @789zumrm
※
匯款日期
※
匯款帳號後五碼
※
匯款金額
可以留言和我們聊聊您參加這次活動的期待唷
團報資料
§ 請點此處填寫
團體報名
資料
總金額
***
元
(依據人數計費：每人
元)
※目前報名數：15
[
查詢]、[
編修]
、
[X不可取消]
※同一承辦人員其他活動報名表
報名截止
真不好意思，這個活動已經額滿了。
請關注小島工作室的line: &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;a href=&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;a href=&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;a href=&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;a href=&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;a href=&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;a href=&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;a href=&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;a href=&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;a href=&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;&amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;a href=&amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;&amp;amp;amp;amp;amp;amp;amp;amp;lt;a href=&amp;amp;amp;amp;amp;amp;amp;amp;quot;&amp;amp;amp;amp;amp;amp;amp;lt;a href=&amp;amp;amp;amp;amp;amp;amp;quot;&amp;amp;amp;amp;amp;amp;lt;a href=&amp;amp;amp;amp;amp;amp;quot;&amp;amp;amp;amp;amp;lt;a href=&amp;amp;amp;amp;amp;quot;&amp;amp;amp;amp;lt;a href=&amp;amp;amp;amp;quot;&amp;amp;amp;lt;a href=&amp;amp;amp;quot;&amp;amp;lt;a href=&amp;amp;quot;&amp;lt;a href=&amp;quot;&lt;a href=&quot;<a href="
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