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["报  名  表"]
["姓名",null,null,"性别",null,"出生日期",null,"照片粘贴处"]
["选手所在地",null,null,"联系方式"]
["指导教师姓名",null,null,"联系方式"]
["参赛组别",null,"幼儿组\n7周岁（含）以下",null,null,"□"]
[null,null,"少儿组A\n8-12周岁",null,null,"□"]
[null,null,"少儿组B\n13-17周岁",null,null,"□"]
[null,null,"青年组\n18-40周岁",null,null,"□"]
[null,null,"中年组\n41-65周岁",null,null,"□"]
[null,null,"老年组\n66周岁及以上",null,null,"□"]
["节目类别",null,"器  乐  类",null,null,"独奏□         齐（重）奏□"]
[null,null,"声  乐  类",null,null,"个人节目□       集体节目□"]
[null,null,"舞  蹈  类",null,null,"个人节目□       集体节目□"]
[null,null,"语  言  类",null,null,"□"]
[null,null,"美  术  类",null,null,"□"]
["节目名称",{"$nulls":4},"古筝调号","A□C□\nD□G□","伴奏","□"]
["备注：\n1、此表复印有效\n2、请在相应栏目“□”内画“√”"]

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