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[null,null,"第67回北海道歯科医師野球大会　本登録用紙"]
[]
[null,null,"歯科医師会名",null,null,"チーム","連絡責任者"]
[null,null,"十勝歯科医師会",null,null,"B","南舘直人"]
[null,null,"住所　　　河西郡芽室町本通３丁目１６番地"]
[null,null,"メールアドレス　nankan@vesta.ocn.ne.jp",null,null,null,"携帯  090-6997-4293"]
[null,null,"TEL　　0155-62-7807",null,null,null,"FAX  0155-62-5357"]
[]
[]
[{"$nulls":4},"氏名",null,null,"ふりがな","背番号"]
[null,null,"部　　　 　長",null,"杉田　仁",null,null,"すぎた  ひとし",8]
[null,null,"総   監   督",null,"河合篤史",null,null,"　　　　　 かわい  あつし",1]
[null,null,"監　　　 　督",1,"大滝達哉",null,null,"　　　　　おおたき  たつや",55]
[null,null,"主　　 　　将",2,"山下浩之",null,null,"　　　　 やました　ひろゆき",64]
[null,null,"マネージャー",3,"竹重和郎",null,null,"　　　　　たけしげ  かずお",57]
[null,null,"選　　　 　手",4,"有田修造",null,null,"　　　　  ありた  しゅうぞう",14]
[null,null,null,5,"村松　晋",null,null,"　　　　　むらまつ  すすむ",76]
[null,null,null,6,"渡辺　聡",null,null,"　　　　　わたなべ  さとる",6]
[null,null,null,7,"小林　靖",null,null,"　　　　　こばやし  やすし",5]
[null,null,null,8,"正木俊二",null,null,"　　　　　 まさき  しゅんじ",25]
[null,null,null,9,"川村　良",null,null,"　　　　  かわむら　りょう",59]
[null,null,null,10,"成田安弘",null,null,"　　　　　なりた  やすひろ",61]
[null,null,null,11,"高橋史敏",null,null,"　　　　 たかはし  ふみとし",52]
[null,null,null,12,"水藤雅彦",null,null,"　　　　　すいとう  まさひこ",98]
[null,null,null,13,"行木隼人",null,null,"　　　　　 なめき  はやと",86]
[null,null,null,14,"今井　崇",null,null,"　　　　 　いまい  たかし",67]
[null,null,null,15,"飯野　護",null,null,"　　　　　 いいの　まもる",82]
[null,null,null,16,"杉村　好久",null,null,"　　　　すぎむら　よしひさ",49]
[null,null,"※　平成28年 4月 ５日（火）　必着でお願いします"]
[]
[null,null,"返信先",null,"Eメール： (  iwamizawa.baseball@gmail.com )"]
[null,null,"  岩見沢大会 実行委員会 　久恒泰宏・加藤久尚・三嶋直之"]