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["添付①　健康チェックシート(ベンチ入り用)"]
[{"$nulls":66},"参加日：令和2年　　月　　日"]
["【2020年中部北支部学童軟式野球交流大会】"]
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[]
["都道府県名",{"$nulls":8},"チーム名",{"$nulls":16},"フリガナ",{"$nulls":16},"参加人数",{"$nulls":5},"チーム\n登録\n番号",{"$nulls":11},"支部記入",{"$nulls":5},"健康チェックシート確認者"]
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[]
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[{"$nulls":67},"責任者名"]
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["フリガナ",{"$nulls":26},"連絡先",null,null,null,"自宅",null,null,null,"〒    -\n",{"$nulls":28},"ＴＥＬ",{"$nulls":5},"(     )  － "]
[{"$nulls":64},"ＦＡＸ",{"$nulls":5},"(　 　)  － "]
["連絡責任者氏名",{"$nulls":63},"携帯",{"$nulls":5}," 　 －　 － "]
[{"$nulls":31},"勤務先",null,null,null,"〒    -\n",{"$nulls":28},"ＴＥＬ",{"$nulls":5},"(　 　) － "]
[{"$nulls":64},"ＦＡＸ",{"$nulls":5},"(　 　) － "]
["№",null,"背番号",null,null,null,"位　　置",{"$nulls":7},"性別",null,null,"氏名",{"$nulls":9},"住所(居住地)\n※地番は記載しない",{"$nulls":13},"連絡先(携帯)\n※選手は父母",{"$nulls":10},"年齢\n(現在)",{"$nulls":6},"風邪症状の有無\n(咳・鼻水・のど痛)",{"$nulls":9},"だるさ・息苦しさ\nの有無",{"$nulls":8},"嗅覚・味覚\n異常の有無",{"$nulls":6},"体温"]
[]
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[1,{"$nulls":5},"責任者（代表）",{"$nulls":52},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
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[2,null,30,null,null,null,"監督",{"$nulls":52},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
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[3,null,29,null,null,null,"コーチ",{"$nulls":52},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
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[4,null,28,null,null,null,"コーチ",{"$nulls":52},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
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[5,{"$nulls":5},"マネージャー",{"$nulls":52},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
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[6,{"$nulls":5},"スコアラー",{"$nulls":52},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
[]
[]
[]
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[7,null,10,null,null,null,"主将",{"$nulls":52},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
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[8,{"$nulls":58},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
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[]
[9,{"$nulls":58},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
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[10,{"$nulls":58},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
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[11,{"$nulls":58},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
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[]
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[12,{"$nulls":58},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
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[13,{"$nulls":58},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
[]
[]
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[14,{"$nulls":58},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
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[]
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[15,{"$nulls":58},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
[]
[]
[]
[16,{"$nulls":58},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
[]
[]
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[17,{"$nulls":58},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
[]
[]
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[18,{"$nulls":58},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
[]
[]
[]
[19,{"$nulls":58},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
[]
[]
[]
[20,{"$nulls":58},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
[]
[]
[]
[21,{"$nulls":58},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
[]
[]
[]
[22,{"$nulls":58},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
[]
[]
[]
[23,{"$nulls":58},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
[]
[]
[]
[24,{"$nulls":58},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
[]
[]
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[null,"【注意事項】"]
[null,null,"（1）感染者が発生した場合は、関係機関に名簿を提出することを承諾する。"]
[null,null,"（2）自チームの参加者はもちろん、その他の参加者への安全確保のために虚偽の報告は行わないこと。"]
[null,null,"（3）20名以上が参加する場合は、本紙をコピーして作成すること。"]
[null,null,"（4）選手以外にベンチ入り可能なマネージャー、スコアラーも参加する場合は明記すること。役職は「位置」に明記すること。"]
[null,null,"（5）本紙に記載された方は、個人情報の取扱いに承諾したとみなす。"]
[null,null,null,"令和　　年　　　　月　　　　日"]
[{"$nulls":40},"嘉手納読谷ブロック長　　當山　靖　　　殿"]

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["添付②　健康チェックシート（父母会(応援・審判・運営)用）"]
[{"$nulls":66},"参加日：令和2年　　月　　日"]
["【2020年中部北支部学童軟式野球交流大会】"]
[]
[]
["都道府県名",{"$nulls":8},"チーム名",{"$nulls":16},"フリガナ",{"$nulls":16},"参加人数",{"$nulls":5},"チーム\n登録\n番号",{"$nulls":11},"支部記入",{"$nulls":5},"健康チェックシート確認者"]
[]
[]
[]
[{"$nulls":67},"責任者名"]
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[]
[]
[]
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["フリガナ",{"$nulls":26},"連絡先",null,null,null,"自宅",null,null,null,"〒    -\n",{"$nulls":28},"ＴＥＬ",{"$nulls":5},"(     )  － "]
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[18,null,"父母会",{"$nulls":7},"応援\n審判\n運営",{"$nulls":48},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
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[19,null,"父母会",{"$nulls":7},"応援\n審判\n運営",{"$nulls":48},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
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[20,null,"父母会",{"$nulls":7},"応援\n審判\n運営",{"$nulls":48},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
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[null,"【注意事項】"]
[{"$nulls":10},"（1）感染者が発生した場合は、関係機関に名簿を提出することを承諾する。"]
[{"$nulls":10},"（2）自チームの参加者はもちろん、その他の参加者への安全確保のために虚偽の報告は行わないこと。"]
[{"$nulls":10},"（3）20名以上が参加する場合は、本紙をコピーして作成すること。"]
[{"$nulls":10},"（4）選手以外にベンチ入り可能なマネージャー、スコアラー、トレーナーも参加する場合は明記すること。役職は「位置」に明記すること。"]
[{"$nulls":10},"（5）本紙に記載された方は、個人情報の取扱いに承諾したとみなす。"]
[{"$nulls":11},"令和　　年　　　　月　　　　日"]
[{"$nulls":40},"中部北支部学童部長　　我如古　聡　　殿"]

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["健康チェックシート(フォーマット)"]
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["【大会名を記入】"]
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[17,{"$nulls":58},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
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[20,{"$nulls":58},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
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[null,"【注意事項】"]
[null,null,"（1）感染者が発生した場合は、関係機関に名簿を提出することを承諾する。"]
[null,null,"（2）自チームの参加者はもちろん、その他の参加者への安全確保のために虚偽の報告は行わないこと。"]
[null,null,"（3）20名以上が参加する場合は、本紙をコピーして作成すること。"]
[null,null,"（4）選手以外にベンチ入り可能なマネージャー、スコアラー、トレーナーも参加する場合は明記すること。役職は「位置」に明記すること。"]
[null,null,"（5）本紙に記載された方は、個人情報の取扱いに承諾したとみなす。"]
[null,null,null,"令和　　年　　　　月　　　　日"]
[{"$nulls":40},"都道府県(軟式)野球連盟(協会)　会長　　　名前　　　殿"]

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["健康チェックシート(フォーマット)【記入例】"]
[]
["天皇賜杯第75回全日本軟式野球大会ENEOSトーナメント　東京都大会"]
[]
[]
["都道府県名",{"$nulls":8},"チーム名",{"$nulls":16},"フリガナ",{"$nulls":16},"参加人数",{"$nulls":5},"チーム\n登録\n番号",{"$nulls":5},1,{"$nulls":5},"支部記入",{"$nulls":5},"健康チェックシート確認者"]
[]
["東京都",{"$nulls":8},"チーム全軟連",{"$nulls":16},"チームゼンナンレン",{"$nulls":16},15]
[]
[{"$nulls":67},"責任者名",{"$nulls":7},"東京　太郎"]
[]
[]
[]
[]
[]
["フリガナ",{"$nulls":9},"ゼンナン　タロウ",{"$nulls":16},"連絡先",null,null,null,"自宅",null,null,null,"〒000-0000\n東京都○○区○○",{"$nulls":28},"ＴＥＬ",{"$nulls":5},"( 00 )0000－0000 "]
[{"$nulls":64},"ＦＡＸ",{"$nulls":5},"( 00 )0000－0000 "]
["連絡責任者氏名",{"$nulls":9},"全軟　太郎",{"$nulls":53},"携帯",{"$nulls":5}," 000－0000－0000 "]
[{"$nulls":31},"勤務先",null,null,null,"〒000-0000\n東京都○○区○○",{"$nulls":28},"ＴＥＬ",{"$nulls":5},"( 00 )0000－0000 "]
[{"$nulls":64},"ＦＡＸ",{"$nulls":5},"( 00 )0000－0000 "]
["№",null,"背番号",null,null,null,"位　　置",{"$nulls":7},"性別",null,null,"氏名",{"$nulls":9},"住所(居住地)",{"$nulls":13},"連絡先(携帯)",{"$nulls":10},"年齢\n(現在)",{"$nulls":6},"風邪症状の有無\n(咳・鼻水・のど痛)",{"$nulls":9},"だるさ・息苦しさ\nの有無",{"$nulls":8},"嗅覚・味覚\n異常の有無",{"$nulls":6},"体温"]
[]
[]
[]
[]
[]
[1,{"$nulls":5},"責任者（部長）",{"$nulls":7},"男",null,null,"全軟　太郎",{"$nulls":9},"読谷村字長浜",{"$nulls":13},"000-0000-0000",{"$nulls":10},50,{"$nulls":6},"無",{"$nulls":9},"無",{"$nulls":8},"無",{"$nulls":6},36.700000000000003]
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[]
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[2,null,30,null,null,null,"監督",{"$nulls":5},"兼",null,"男",null,null,"全軟　一郎",{"$nulls":9},"読谷村字長浜",{"$nulls":13},"000-0000-0001",{"$nulls":10},30,{"$nulls":6},"無",{"$nulls":9},"無",{"$nulls":8},"無",{"$nulls":6},36.5]
[]
[]
[]
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[3,null,10,null,null,null,"主将/内野手",{"$nulls":7},"男",null,null,"全軟　一郎",{"$nulls":9},"読谷村字長浜",{"$nulls":13},"000-0000-0002",{"$nulls":10},25,{"$nulls":6},"無",{"$nulls":9},"無",{"$nulls":8},"無",{"$nulls":6},36.299999999999997]
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[4,null,0,null,null,null,"内野手",{"$nulls":7},"男",null,null,"全軟　一郎",{"$nulls":9},"読谷村字長浜",{"$nulls":13},"000-0000-0003",{"$nulls":10},26,{"$nulls":6},"無",{"$nulls":9},"無",{"$nulls":8},"無",{"$nulls":6},36.200000000000003]
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[5,null,1,null,null,null,"内野手",{"$nulls":7},"男",null,null,"全軟　一郎",{"$nulls":9},"読谷村字長浜",{"$nulls":13},"000-0000-0004",{"$nulls":10},27,{"$nulls":6},"無",{"$nulls":9},"無",{"$nulls":8},"無",{"$nulls":6},36.5]
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[]
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[6,null,2,null,null,null,"捕手",{"$nulls":7},"男",null,null,"全軟　一郎",{"$nulls":9},"読谷村字長浜",{"$nulls":13},"000-0000-0005",{"$nulls":10},28,{"$nulls":6},"無",{"$nulls":9},"無",{"$nulls":8},"無",{"$nulls":6},36.6]
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[7,null,3,null,null,null,"内野手",{"$nulls":7},"男",null,null,"全軟　一郎",{"$nulls":9},"読谷村字長浜",{"$nulls":13},"000-0000-0006",{"$nulls":10},29,{"$nulls":6},"無",{"$nulls":9},"無",{"$nulls":8},"無",{"$nulls":6},36.799999999999997]
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[8,null,4,null,null,null,"投手",{"$nulls":7},"男",null,null,"全軟　一郎",{"$nulls":9},"読谷村字長浜",{"$nulls":13},"000-0000-0007",{"$nulls":10},30,{"$nulls":6},"無",{"$nulls":9},"無",{"$nulls":8},"無",{"$nulls":6},36.700000000000003]
[]
[]
[]
[9,null,5,null,null,null,"外野手",{"$nulls":7},"男",null,null,"全軟　一郎",{"$nulls":9},"読谷村字長浜",{"$nulls":13},"000-0000-0008",{"$nulls":10},31,{"$nulls":6},"無",{"$nulls":9},"無",{"$nulls":8},"無",{"$nulls":6},36.5]
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[]
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[10,null,6,null,null,null,"投手",{"$nulls":7},"男",null,null,"全軟　一郎",{"$nulls":9},"読谷村字長浜",{"$nulls":13},"000-0000-0009",{"$nulls":10},32,{"$nulls":6},"無",{"$nulls":9},"無",{"$nulls":8},"無",{"$nulls":6},36.6]
[]
[]
[]
[11,null,7,null,null,null,"外野手",{"$nulls":7},"男",null,null,"全軟　一郎",{"$nulls":9},"読谷村字長浜",{"$nulls":13},"000-0000-0010",{"$nulls":10},33,{"$nulls":6},"無",{"$nulls":9},"無",{"$nulls":8},"無",{"$nulls":6},36.4]
[]
[]
[]
[12,null,8,null,null,null,"外野手",{"$nulls":7},"男",null,null,"全軟　一郎",{"$nulls":9},"読谷村字長浜",{"$nulls":13},"000-0000-0011",{"$nulls":10},34,{"$nulls":6},"無",{"$nulls":9},"無",{"$nulls":8},"無",{"$nulls":6},36.799999999999997]
[]
[]
[]
[13,null,9,null,null,null,"投手",{"$nulls":7},"男",null,null,"全軟　一郎",{"$nulls":9},"読谷村字長浜",{"$nulls":13},"000-0000-0012",{"$nulls":10},35,{"$nulls":6},"無",{"$nulls":9},"無",{"$nulls":8},"無",{"$nulls":6},36.4]
[]
[]
[]
[14,{"$nulls":5},"マネージャー",{"$nulls":7},"女",null,null,"全軟　花子",{"$nulls":9},"読谷村字長浜",{"$nulls":13},"000-0000-0013",{"$nulls":10},30,{"$nulls":6},"無",{"$nulls":9},"無",{"$nulls":8},"無",{"$nulls":6},36.5]
[]
[]
[]
[15,{"$nulls":5},"トレーナー",{"$nulls":7},"男",null,null,"全軟　一郎",{"$nulls":9},"読谷村字長浜",{"$nulls":13},"000-0000-0014",{"$nulls":10},31,{"$nulls":6},"無",{"$nulls":9},"無",{"$nulls":8},"無",{"$nulls":6},36.6]
[]
[]
[]
[16,{"$nulls":58},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
[]
[]
[]
[17,{"$nulls":58},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
[]
[]
[]
[18,{"$nulls":58},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
[]
[]
[]
[19,{"$nulls":58},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
[]
[]
[]
[20,{"$nulls":58},"有・無",{"$nulls":9},"有・無",{"$nulls":8},"有・無"]
[]
[]
[]
[]
[null,"【注意事項】"]
[null,null,"（1）感染者が発生した場合は、関係機関に名簿を提出することを承諾する。"]
[null,null,"（2）自チームの参加者はもちろん、その他の参加者への安全確保のために虚偽の報告は行わないこと。"]
[null,null,"（3）20名以上が参加する場合は、本紙をコピーして作成すること。"]
[null,null,"（4）選手以外にベンチ入り可能なマネージャー、スコアラー、トレーナーも参加する場合は明記すること。役職は「位置」に明記すること。"]
[null,null,"（5）本紙に記載された方は、個人情報の取扱いに承諾したとみなす。"]
[null,null,null,"令和　2年　6月　30日"]
[{"$nulls":40},"○○都道府県軟式野球連盟　会長　○○○○　　殿"]

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