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{"sheet":"R４申込書  (延長版) ","index":0,"n_rows":101,"n_cols":52,"rows_kept":101,"cut":false,"hidden":false,"merged":[[10,2,10,3],[10,4,10,64],[11,2,11,3],[11,4,11,64],[12,2,12,64],[13,2,13,64],[0,29,0,36],[1,10,3,48],[4,2,6,64],[8,2,8,3],[8,4,8,64],[9,2,9,3],[9,4,9,64],[22,3,23,11],[22,13,23,46],[25,2,26,5],[25,6,25,23],[25,24,25,33],[25,34,26,49],[14,2,14,3],[14,4,14,64],[17,3,20,14],[17,17,18,18],[17,19,18,51],[19,17,20,18],[19,19,20,63],[25,50,25,64],[26,6,26,23],[26,24,26,33],[26,50,26,64],[27,2,30,5],[27,6,30,7],[27,8,30,9],[27,10,30,11],[27,12,30,13],[27,14,30,15],[31,2,34,5],[31,6,34,7],[31,8,34,9],[31,10,34,11],[31,12,34,13],[31,14,34,15],[31,16,34,17],[27,16,30,17],[27,18,30,19],[31,18,34,19],[31,20,34,21],[31,22,34,23],[31,26,32,33],[31,34,31,49],[31,50,34,64],[32,34,34,49],[33,26,34,33],[27,50,30,64],[28,34,30,49],[29,26,30,33],[27,20,30,21],[27,22,30,23],[27,26,28,33],[27,34,27,49],[35,50,38,64],[36,34,38,49],[37,26,38,33],[40,2,41,3],[40,4,41,64],[42,4,43,64],[35,16,38,17],[35,18,38,19],[35,20,38,21],[35,22,38,23],[35,26,36,33],[35,34,35,49],[35,2,38,5],[35,6,38,7],[35,8,38,9],[35,10,38,11],[35,12,38,13],[35,14,38,15],[51,4,51,11],[51,12,51,27],[51,28,52,36],[51,37,54,55],[52,4,54,11],[52,12,54,27],[53,28,54,36],[44,2,45,3],[44,4,45,64],[46,2,47,3],[46,4,47,64],[48,2,49,3],[48,4,49,64],[58,3,61,36],[58,38,61,65],[63,2,64,65],[68,2,69,65],[71,2,71,19],[71,20,71,29],[71,30,72,46],[71,47,71,64],[72,2,72,19],[72,20,72,29],[73,22,74,29],[73,30,73,46],[73,47,76,64],[74,30,76,46],[75,22,76,29],[78,3,79,11],[78,13,79,37],[72,47,72,64],[73,2,76,3],[73,4,76,5],[73,6,76,7],[73,8,76,9],[73,10,76,11],[73,12,76,13],[73,14,76,15],[73,16,76,17],[73,18,76,19],[89,12,91,27],[90,28,91,36],[94,1,96,11],[94,14,96,65],[98,1,100,11],[98,51,98,65],[99,51,99,65],[81,2,82,3],[81,4,82,64],[83,4,84,64],[85,2,86,3],[85,4,86,64],[88,4,88,11],[88,12,88,27],[88,28,89,36],[88,37,91,55],[89,4,91,11]]}
[null,"別記様式１"]
[null,null,null,null,null,null,null,null,null,null,"     　             一般財団法人北海道公立学校教職員互助会"]
[]
[]
[null,null,"　令和４年度チャレンジ！ウォーク申込書"]
[]
[]
[]
[null,null,"●",null,"この申込書は、現職会員・特別会員共通です。"]
[null,null,"●",null,"参加する部門に☑を入れてください。"]
[null,null,"●",null,"チーム部門、個人部門及び北海道チャレンジ部門、また、複数のチームに重複して参加することは不可。"]
[null,null,"●",null,"各欄の記入"]
[null,null,"　  ・会員番号　右づめで記入してください。　・続柄　現職会員の被扶養者及び特別会員の認定配偶者"]
[null,null,"  　の方は「被扶養者等」に☑を入れてください。　・所属所名　現職会員本人のみ記入してください。"]
[null,null,"●",null,"チャレンジ！ウォークは、日常生活の範囲内で行うこととし、傷病、事故等に対し、自己の責任において参加してください。"]
[]
[]
[null,null,null," チーム部門",null,null,null,null,null,null,null,null,null,null,null,null,null,"●",null,"３名１組のチームを編成してください。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※",null,"複数の部門、また、複数のチームへの重複参加はできません。"]
[]
[]
[null,null,null,"チーム名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"結果報告の際に使用しますので"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"必ず記入してください。"]
[]
[null,null,null,null,null,null,"会 員 番 号  　右づめで記入してください",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"続　　柄",null,null,null,null,null,null,null,null,null,"氏　　　　　　　　　名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"所  属  所  名"]
[null,null,null,null,null,null,"（被扶養者等は会員本人の番号を記入）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"該当に✓を入れてください",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（現職会員本人のみ記入）"]
[null,null,"代表者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 会員本人"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 被扶養者等"]
[]
[null,null,"メンバー",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 会員本人"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 被扶養者等"]
[]
[null,null,"メンバー",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 会員本人"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 被扶養者等"]
[]
[]
[null,null,"●",null,"参加決定通知や参加賞等は、チーム代表者に送付します。（代表者が、現職会員の場合は所属所の個人あて、"]
[]
[null,null,null,null,"特別会員の場合は登録の自宅住所に送付します。）"]
[]
[null,null,"●",null,"会員本人と被扶養者等のチームの場合、代表者は会員本人としてください。"]
[]
[null,null,"●",null,"被扶養者等のみのチームの場合、参加決定通知等は会員本人に送付しますので下欄に会員本人氏名等を記入"]
[]
[null,null,null,null,"してください。"]
[]
[]
[null,null,null,null,"フ　　　リ　　　ガ　　　ナ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"所属所名"]
[null,null,null,null,"会員本人氏名"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（現職会員のみ記入）"]
[]
[]
[]
[]
[null,null,null," 個人部門　 北海道チャレンジ部門",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※複数の部門への重複参加はできません。"]
[]
[]
[]
[]
[null,null,"●北海道チャレンジ部門を選択された方は、下記６つの中から１コースを選択し、☑を入れてください。"]
[]
[]
[null,null,null,"道央コース①",null,null,null,null,null,null,null,null,"道央コース②",null,null,null,null,null,null,null,null,"道南コース",null,null,null,null,null,null,null,"道北コース",null,null,null,null,null,null,null,"道東コース①",null,null,null,null,null,null,null,null,"道東コース②"]
[]
[null,null,"※参加決定後のコース変更はいたしかねます。"]
[]
[]
[null,null,"会 員 番 号  　右づめで記入してください",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"続　　柄",null,null,null,null,null,null,null,null,null,"氏　　　　　　　　　名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"所  属  所  名"]
[null,null,"（被扶養者等は会員本人の番号を記入）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"該当に✓を入れてください",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（会員本人のみ記入）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 会員本人"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 被扶養者等"]
[]
[]
[null,null,null,"ニックネーム",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 結果報告の際に個人名を掲載したくない場合は"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," こちらにニックネームを記入してください！"]
[]
[null,null,"●",null,"参加決定通知や参加賞等は、現職会員の場合は所属所の個人あて、特別会員の場合は登録の自宅住所に送付"]
[]
[null,null,null,null,"します。"]
[]
[null,null,"●",null,"被扶養者等の場合、参加決定通知等は会員本人に送付しますので下欄に会員本人氏名等を記入してください。"]
[]
[]
[null,null,null,null,"フ　　　リ　　　ガ　　　ナ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"所属所名"]
[null,null,null,null,"会員本人氏名"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（現職会員のみ記入）"]
[]
[]
[]
[null,"申込受付期間",null,null,null,null,null,null,null,null,null,null,null,null,"令和４年４月２０日（水）～６月１７日（金）※５月３１日(火)から延長しました。互助会必着"]
[]
[]
[]
[null,"提出・問合せ先",null,null,null,null,null,null,null,null,null,null,null,null,"一般財団法人北海道公立学校教職員互助会　　文化福祉グループ     ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☎ 011-211-6072（直通）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〒060-8560 札幌市中央区北１条西６丁目２ 損保ジャパン札幌ビル５階",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☎ 011-271-5225（代表）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FAX：011-271-6990   メールアドレス：challenge@hkkg.or.jp"]