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["様式１"]
[]
[]
["施　　設　　利　　用　　申　　込　　書"]
[]
[]
[]
["　次のとおり利用したいので申し込みます。施設利用に際しては、貴校が定めた条件を遵守いたします。"]
["利用月",null,"月",null,null,"利　用　時　間",null,null,null,null,null,null,null,null,"施設名",null,null,null,"活動内容",null,null,null,"利用人員及び当日の\n利用責任者氏名･連絡先",null,null,null,null,null,null,null,null,"体育施設照明設備の利用",null,null,"冷暖房設備の利用"]
[]
[]
[]
["利　　用　　希　　望　　日　　時",null,"日\n\n(　 曜日)",null,null,"　　前　　　　　　前",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　　　　　　　　人",null,null,null,null,null,null,null,null,"有・無",null,null,"有・無"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"当日責任者氏名"]
[null,null,null,null,null,"午　　　時～午　　　時まで"]
[null,null,null,null,null,"　　後　　　　　　後",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"当日責任者連絡先"]
[]
[null,null,"日\n\n(　 曜日)",null,null,"　　前　　　　　　前",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　　　　　　　　人",null,null,null,null,null,null,null,null,"有・無",null,null,"有・無"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"当日責任者氏名"]
[null,null,null,null,null,"午　　　時～午　　　時まで"]
[null,null,null,null,null,"　　後　　　　　　後",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"当日責任者連絡先"]
[]
[null,null,"日\n\n(　 曜日)",null,null,"　　前　　　　　　前",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　　　　　　　　人",null,null,null,null,null,null,null,null,"有・無",null,null,"有・無"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"当日責任者氏名"]
[null,null,null,null,null,"午　　　時～午　　　時まで"]
[null,null,null,null,null,"　　後　　　　　　後",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"当日責任者連絡先"]
[]
[null,null,"日\n\n(　 曜日)",null,null,"　　前　　　　　　前",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　　　　　　　　人",null,null,null,null,null,null,null,null,"有・無",null,null,"有・無"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"当日責任者氏名"]
[null,null,null,null,null,"午　　　時～午　　　時まで"]
[null,null,null,null,null,"　　後　　　　　　後",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"当日責任者連絡先"]
[]
[null,null,"日\n\n(　 曜日)",null,null,"　　前　　　　　　前",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　　　　　　　　人",null,null,null,null,null,null,null,null,"有・無",null,null,"有・無"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"当日責任者氏名"]
[null,null,null,null,null,"午　　　時～午　　　時まで"]
[null,null,null,null,null,"　　後　　　　　　後",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"当日責任者連絡先"]
[]
[null,null,"日\n\n(　 曜日)",null,null,"　　前　　　　　　前",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　　　　　　　　人",null,null,null,null,null,null,null,null,"有・無",null,null,"有・無"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"当日責任者氏名"]
[null,null,null,null,null,"午　　　時～午　　　時まで"]
[null,null,null,null,null,"　　後　　　　　　後",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"当日責任者連絡先"]
[]
[]
[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,"令和",null,null,"年",null,"月",null,"日"]
[]
[null,null,null,null,null,null,null,null,null,null,"上溝南高等学校長　殿"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（団体名",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,"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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"申込者"]
[]
["(備考)",null,null,"・利用責任者を指定しておくこと。"]
[null,null,null,"・当年度初めて利用申込みをするときには、利用者名簿を添付の上、提出すること。また、記載内容に"]
[null,null,null,"　変更が生じた場合は、変更後初めて利用を申し込むときに改めて利用者名簿を添付すること。"]