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["　"]
["本大会、および上位大会のプログラム、報道発表、ホームページ、記録集における氏名・学校名・学年・身長・写真等の掲載については参加生徒、保護者の同意を得ています。"]
["なお、同意が得られない生徒は、別添によりその旨を報告します。"]
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["　上記の生徒の大会参加を許可する。",null,null,null,"令和  年　 月　 日"]
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