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["2015年工业和信息化部部属高校和部机关游泳友谊赛报名表"]
[null,"单位（盖章）："]
[null,"领队：",{"$nulls":3},"教练：",{"$nulls":3},"联系电话："]
["基本信息",{"$nulls":3},"年龄组",{"$nulls":3},"项目"]
["序号","姓名","性别","出生年月","30岁以下","30-40岁","40-50岁","50-60岁","50M蛙","100M蛙","50M仰","100M仰","50M自","100M自","200M自","4×50M接力","男女混4×50M接力"]
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["一、本人比赛中可能发生的危险已有充分的认识，并保证本人的身体状况能够承受本次比赛。"]
["二、本人对在比赛中因受伤、遭遇意外事故或发生疾病时受到的急救处理方法及结果不提出异议。"]
["三、本人确认对上述保证已充分理解。"]
["注：请在选择栏中划“1”。"]

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