이정은 1명 신청 합니다.

------------------------------------------------- 절 취 선 --------------------------------------- New Gen School 신청서 <TABLE style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; BORDER-COLLAPSE: collapse; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; mso-table-overlap: never"> <TBODY> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 5.1pt; WIDTH: 143.09pt; PADDING-RIGHT: 5.1pt; HEIGHT: 48.18pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=middle rowSpan=2> 성명 : 이정은</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 5.1pt; WIDTH: 143.09pt; PADDING-RIGHT: 5.1pt; HEIGHT: 48.18pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=middle rowSpan=2> 나이 : 8세</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 5.1pt; WIDTH: 235.23pt; PADDING-RIGHT: 5.1pt; HEIGHT: 24.09pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=middle> 교회 : 이리신광교회</TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 5.1pt; WIDTH: 235.23pt; PADDING-RIGHT: 5.1pt; HEIGHT: 24.09pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=middle> 학교 : 옥야초등학교</TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 5.1pt; WIDTH: 286.18pt; PADDING-RIGHT: 5.1pt; HEIGHT: 32.58pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=middle colSpan=2> 주민등록번호 : 나중에 등록 합니다.</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 5.1pt; WIDTH: 235.23pt; PADDING-RIGHT: 5.1pt; HEIGHT: 32.58pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=middle> 본인연락처 : 010-5202-1252</TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 5.1pt; WIDTH: 286.18pt; PADDING-RIGHT: 5.1pt; HEIGHT: 32.58pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=middle colSpan=2> 주소 : 익산시 동산동 세경3차 아파트          301-814호</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 5.1pt; WIDTH: 235.23pt; PADDING-RIGHT: 5.1pt; HEIGHT: 32.58pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=middle> 부모님연락처 : 010-5011-7625</TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 5.1pt; WIDTH: 286.18pt; PADDING-RIGHT: 5.1pt; HEIGHT: 39.68pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=middle colSpan=2> 놀이터①지망 : 찬양하는 C.C.D</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 5.1pt; WIDTH: 235.23pt; PADDING-RIGHT: 5.1pt; HEIGHT: 39.68pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=middle> 놀이터②지망 : 종이접기</TD></TR></TBODY></TABLE> ☞ 주민등록 번호는 체험학습을 위해 필요 합니다. 주소는 차량 운행을 위해 필요 합니다. ☞ 놀이터 선택은 선착순으로 마감 됩니다. 모집 인원에 따라 폐강 될 수 있습니다. ☞ 우선 순위에 따라 놀이터를 배정 합니다. 하나의 놀이터만 선택할 수 있습니다.