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单位：
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领队：
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教练：
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地址：
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邮编：
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E-mail:
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电话：
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传真：
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领队手机：
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组别
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姓名
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出生日期
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500
|
1000
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////
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/////
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中学男子甲组
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组别
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姓名
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出生日期
|
500
|
1000
|
////
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/////
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中学女子甲组
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组别
|
姓名
|
出生日期
|
300
|
500
|
1000
|
/////
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中学男子乙组
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组别
|
姓名
|
出生日期
|
300
|
500
|
1000
|
/////
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中学女子乙组
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组别
|
姓名
|
出生日期
|
300
|
500
|
1000
|
/////
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|
小学男子甲组
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组别
|
姓名
|
出生日期
|
300
|
500
|
1000
|
/////
|
|
小学女子甲组
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组别
|
姓名
|
出生日期
|
300
|
500
|
1000
|
////
|
|
小学男子乙组
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组别
|
姓名
|
出生日期
|
300
|
500
|
1000
|
////
|
|
小学女子乙组
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组别
|
姓名
|
出生日期
|
200
|
300
|
500
|
////
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小学男子丙组
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组别
|
姓名
|
出生日期
|
200
|
300
|
500
|
////
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小学女子丙组
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组别
|
姓名
|
出生日期
|
200
|
500
|
////
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/////
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幼儿男子甲组
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组别
|
姓名
|
出生日期
|
200
|
500
|
////
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/////
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幼儿女子甲组
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组别
|
姓名
|
出生日期
|
200
|
300
|
/////
|
/////
|
|
幼儿男子乙组
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组别
|
姓名
|
出生日期
|
200
|
300
|
/////
|
/////
|
|
幼儿女子乙组
|
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注：填报此报名表视为同意本规程和参赛保证的所有内容。
单位（盖章）
年 月 日
