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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,"        室蘭    歯科医師会",null,null,"Ａ","宍戸　秀徳"]
[null,null,"住所　　虻田郡洞爺湖町高砂町３２－５２－２　"]
[null,null,"メールアドレス　qqqe2zn9k@rice.ocn.ne.jp",null,null,null,"携帯 09088987691"]
[null,null,"TEL　　0142-76-4501",null,null,null,"FAX 0142-76-1806"]
[]
[]
[{"$nulls":4},"氏名",null,null,"ふりがな","背番号"]
[null,null,"部　　　 　長",null,"多田　和央",null,null,"ただ　かずお"]
[null,null,"監　　　 　督",1,"岩川　直義",null,null,"いわかわ　なおよし"]
[null,null,"主　　 　　将",2,"工藤　善史",null,null,"くどう　よしふみ"]
[null,null,"マネージャー",3,"宍戸　秀徳",null,null,"ししど　ひでのり"]
[null,null,"選　　　 　手",4,"多田　和央",null,null,"ただ　かずお"]
[null,null,null,5,"須田　倫夫",null,null,"すだ　のりお"]
[null,null,null,6,"水野　文春",null,null,"みずの　のりはる"]
[null,null,null,7,"畠山　雄一",null,null,"はたけやま　ゆういち"]
[null,null,null,8,"上田　晋太郎",null,null,"うえだ　しんたろう"]
[null,null,null,9,"福田　慎之介",null,null,"ふくだ　しんのすけ"]
[null,null,null,10,"福田　衛",null,null,"ふくだ　まもる"]
[null,null,null,11,"多田　和弘",null,null,"ただ　かずひろ"]
[null,null,null,12,"福田　啓輔",null,null,"ふくだ　けいすけ"]
[null,null,null,13]
[null,null,null,14]
[null,null,null,15]
[null,null,null,16]
[null,null,null,17]
[null,null,null,18]
[null,null,null,19]
[null,null,null,20]
[null,null,null,20]
[null,null,"応　援　団"]
[null,null,"応　援　団"]
[null,null,"応　援　団"]
[null,null,"応　援　団"]
[null,null,"応　援　団"]
[]
[]
[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"]