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["第３０回宇都宮市スポーツ少年団ジュニアリーダー研修会参加申込書"]
["（ボランティア・中学生以上）"]
["ふりがな",{"$nulls":9},"男 ・ 女",null,null,null,"歳"]
["氏　　名",{"$nulls":9},"平成　　年　　月　　日生"]
["学 校 名",{"$nulls":9},"学　年",null,null,null,"年"]
["自宅住所",null,null,"〒",{"$nulls":6},"電　話　番　号"]
[{"$nulls":10},"　☎"]
["ふりがな",{"$nulls":9},"緊急連絡先（携帯電話等）"]
["保護者氏名",{"$nulls":9},"　☎"]
[{"$nulls":12},"特記事項"]
[null,"● 全日程参加"]
[]
[null,"● 途中参加を希望する方は、下表の参加できる箇所に\n　丸印を記入してください。\n（※中学3年以上の経験者のみ選択可）"]
[]
[]
[null,null,null,"８月17日\n（月）",null,"8月18日\n（火）",null,"8月19日\n（水）"]
[null,"朝　食"]
[null,"午前の部"]
[null,"昼　食"]
[null,"午後の部"]
[null,"夕　食"]
[null,"キャンプファイヤー"]
[null,"宿　泊"]
[]
["疾患歴の有無",null,null,"有 ・ 無　（有の場合、下段に状態を記入してください。）"]
[]
[]
[null,"上記の者の参加を承諾します。"]
[]
[null,"令和８年　　月　　日"]
[{"$nulls":7},"保護者名"]
[]
[null,"宇都宮市スポーツ少年団"]
[null,"本部長　松　本　邦　夫　様"]