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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,"         後志      歯科医師会",null,null,"B","茂尾公晴"]
[null,null,"住所： 寿都郡黒松内町２９０番地　ぶなの森レインボー歯科クリニック　　　"]
[null,null,"メールアドレス ：kshigeo@bg8.so-net.ne.jp",null,null,null,"携帯 : 090-8370-4244"]
[null,null,"TEL : ０１３６−７７−２２１６ 　　",null,null,null,"FAX　：　0136-77-2217"]
[]
[]
[{"$nulls":4},"氏名",null,null,"ふりがな","背番号"]
[null,null,"部　　　 　長",null,"練合　哲哉",null,null,"ねりあい　てつや",3]
[null,null,"監　　　 　督",1,"土方　敬久",null,null,"ひじかた　よしひさ",51]
[null,null,"主　　 　　将",2,"中村　直喜",null,null,"なかむら　なおき",20]
[null,null,"マネージャー",3,"萩野　司",null,null,"はぎの　つかさ",33]
[null,null,"選　　　 　手",4,"菊地　亮",null,null,"きくち　りょう",10]
[null,null,null,5,"伊藤　純",null,null,"いとう　じゅん",99]
[null,null,null,6,"山田　一晴",null,null,"やまだ　かずはる",36]
[null,null,null,7,"星　政和",null,null,"ほし　まさかず",14]
[null,null,null,8,"井筒　徹",null,null,"いづつ　とおる",7]
[null,null,null,9,"寺沢　聡夫",null,null,"てらさわ　としお",35]
[null,null,null,10,"佐藤　智賀志",null,null,"さとう　ちかし",16]
[null,null,null,11,"西崎　公一",null,null,"にしざき　きみかず",24]
[null,null,null,12,"福井　光行",null,null,"ふくい　みつゆき",19]
[null,null,null,13,"岡崎　有志",null,null,"おかざき　ゆうし",5]
[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"]